Active NPI
Fabiola Marie Salgado Reyes
- General Practice Dentistry
- New York, NY
National Provider Identifier
1447748934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 06093801
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06093801 | NY | MD | General Practice Dentistry |
| 060938 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Floating Hospital Inc. | Current | Accepting new patients | |
| The Floating Hospital Inc. | Current | Accepting new patients | |
| The Floating Hospital Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1275946550
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1306954631
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1851704530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.