Individual provider Active NPI

Fabiola Marie Salgado Reyes

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1447748934
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06093801 Issued in NY
Practice address
111 E 210TH St Bronx
New York, NY 10467-2401
Phone
(787) 594-8502
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 06093801 NY Primary

Addresses

Primary practice location

111 E 210TH St Bronx
New York, NY 10467-2401

Mailing address

9 W 110TH St Apt 31
New York, NY 10026-4304
Phone (787) 594-8502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06093801NYMDGeneral Practice Dentistry
060938NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Floating Hospital Inc. CurrentSince Aug 17, 2020 Accepting new patients
The Floating Hospital Inc. Current Accepting new patients
The Floating Hospital Inc. CurrentSince Aug 17, 2020 Accepting new patients

Locations

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

2515 Queens Plz N
Long Island City, NY 11101
Phone 7187842240144

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1447748934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W 110TH ST APT 31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264304",
            "telephone_number": "787-594-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST BRONX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "787-594-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO REYES",
        "first_name": "FABIOLA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "06093801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.