Active NPI
Cherie Danielle Walsh, DMD
- Pediatric Dentistry
- New York, NY
National Provider Identifier
1235677204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0593891-1
- Practice address
- 59 W 12TH St
New York, NY 10011-8563 - Phone
- (212) 373-4651
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02658500 | NJ | |
| General Practice Dentistry | 1223G0001X | DGD.8900 GD | SC | |
| Pediatric Dentistry | 1223P0221X | 0593891-1 | NY | Primary |
Addresses
Primary practice location
59 W 12TH St
New York, NY 10011-8563
Mailing address
151 Hoyt St # 1F
Brooklyn, NY 11217-2226
Phone (914) 424-9534
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02658500 | NJ | MD | Dentist |
| DGD.8900 GD | SC | MD | General Practice Dentistry |
| 0593891-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Interoperability endpoints
- cwalsh4729904@nychhc.direct-ci.com
- cherie.walsh.p1@direct.ezramedical.nextgenshare.com
Organizations & group practices 2
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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1235677204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 HOYT ST # 1F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172226",
"telephone_number": "914-424-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118563",
"telephone_number": "212-373-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CHERIE",
"middle_name": "DANIELLE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02658500",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD.8900 GD",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "0593891-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.