Active NPI
Ann Marie M Dennis, MSED
- Specialist
- Bronx, NY
National Provider Identifier
1184977035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2305552
- Practice address
- 120 Erskine PL
13D
Bronx, NY 10475-5702 - Phone
- (646) 646-2624
- NPI assigned
- Oct 16, 2012
- Last updated
- Oct 16, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2305552 | NY | Primary |
Addresses
Primary practice location
120 Erskine PL
13D
Bronx, NY 10475-5702
Mailing address
120 Erskine PL
13D
Bronx, NY 10475-5702
Phone (646) 646-2624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305552 | Other | NY | TEACHER CERTIFICATION |
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 |
|---|---|---|---|
| 2305552 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1184977035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ERSKINE PL",
"address_2": "13D",
"city": "BRONX",
"state": "NY",
"postal_code": "104755702",
"telephone_number": "646-646-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ERSKINE PL",
"address_2": "13D",
"city": "BRONX",
"state": "NY",
"postal_code": "104755702",
"telephone_number": "646-646-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "ANN MARIE",
"middle_name": "M",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2305552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION",
"identifier": "2305552",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.