Jeffrey Carrasquillo DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045010 Issued in NY

Legal business name

JEFFREY CARRASQUILLO DMD PLLC

Practice address

66-25 Maurice Ave
Woodside, NY 11372

Phone

(718) 651-5941

Fax

(718) 261-4742

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Carrasquillo, DMDNPI 1699010736

Title

President

Phone

(718) 261-0260

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey Carrasquillo DMD Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Carrasquillo, DMD

  • Dentist
  • Woodside, NY
  • NPI 1699010736
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1376765859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90-05 70TH DRIVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-261-0260",
            "fax_number": "718-261-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-25 MAURICE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-651-5941",
            "fax_number": "718-261-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY CARRASQUILLO DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey Carrasquillo DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ambareen Jawaid, PHARMD
• Jean Langhans, NP, PC
• Eva Dianne Jean-Gilles
• Josue Jean-Gilles, OTR/L
• Fednor Jean-Louis, COTA
• Ji Dental Care PLLC
• Ji Physical Therapy PC
• Alfy Jimenez Sr., LCSW
• Jinghuan Cai Acupuncture P C
• JMD Pharmacy Inc

• General Practice Dentistry in Woodside, NY
• Providers in Woodside, 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 30, 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.

Verify at the official NPI Registry.