Jaime Fuertes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55484 Issued in NY

Practice address

1710 Altamont Ave
Schenectady, NY 12303-2154

Phone

(518) 356-3300

Fax

(518) 356-8003

NPI assigned

Jul 22, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Dental Associates of Hudson Valley, PLLC

  • General Practice Dentistry
  • Schenectady, NY
  • NPI 1871742197
  NPD (past)
• Micol Hernandez Rivera LLC

  • Periodontics
  • San Juan, PR
  • NPI 1083249122
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1073891271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032154",
            "telephone_number": "518-356-3300",
            "fax_number": "518-356-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTES",
        "first_name": "JAIME",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3224",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "55484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Fritz, LCSW-R
• Joanna Fritze-Jeremie, BSN, RN
• Erin Frowein
• Susan L Fryer, R.N.
• Carol A. Fuchs, NP
• John D Fulco, M.D.
• Wade Thomas Funk
• William Paul Furman, DPT
• Benjamin Fusco-Gessick, PHD
• Barbara G Fuscus

• General Practice Dentistry in Schenectady, NY
• Providers in Schenectady, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.