Individual provider Active NPI

Reham A Dabiesh, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1225484355
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
059488-1 Issued in NY
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924004131 NY Practitioner - Dentist 8224533815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059488-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Health Centers, Inc. Single Specialty Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Sep 22, 2025 Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Single Specialty Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Sep 22, 2025 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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 059488-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.