Active NPI
Nafeesa King, RDH
- Dental Hygienist
- Brooklyn, NY
National Provider Identifier
1063689321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 023096-1
- Practice address
- 50 Jay St
Brooklyn, NY 11201-1144 - Phone
- (718) 222-6600
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 023096-1 | NY | Primary |
Addresses
Primary practice location
50 Jay St
Brooklyn, NY 11201-1144
Mailing address
115 Beverly Rd
Hempstead, NY 11550-5203
Phone (516) 292-3361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023096-1 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Houses of New York, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- New York, NY
- NPI 1134297153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1063689321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BEVERLY RD",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115505203",
"telephone_number": "516-292-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 JAY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011144",
"telephone_number": "718-222-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "NAFEESA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "023096-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.