Active NPI
Reham A Dabiesh, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1225484355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 059488-1
- Practice address
- 650 Fulton St
Brooklyn, NY 11217-1517 - Phone
- (718) 596-9800
- Fax
- (718) 596-9889
- NPI assigned
- May 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
NY, Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1649516352
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1649837113
-
- Clinic/Center
- Bronx, NY
- NPI 1366507758
Single Specialty
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- New York University College of Dentistry, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
979 Cross Bronx Expy
Bronx, NY 10460-4885
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250924004131 | NY | Practitioner - Dentist | 8224533815 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059488-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Community Health Centers, Inc. | Single Specialty | Current | Accepting new patients |
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| United Cerebral Palsy Associations of New York State, Inc. | Single Specialty | Current | Accepting new patients |
| Metro Community Health Centers, Inc. | Current | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
177 Livingston St
Lowr
Brooklyn, NY 11201
Phone (718) 855-7707
2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 059488-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
650 Fulton St
Brooklyn, NY 11217-1517
Mailing address
200 Bay 49TH St
Brooklyn, NY 11214-7202
Phone (718) 415-4009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2018.
{
"created_epoch": "1462579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1225484355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BAY 49TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112147202",
"telephone_number": "718-415-4009",
"fax_number": "718-236-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171517",
"telephone_number": "718-596-9800",
"fax_number": "718-596-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABIESH",
"first_name": "REHAM",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-07",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "059488-1",
"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 4, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.