Individual provider Active NPI

Jessica Elizabeth Giancaspro, RDH

  • Dental Hygienist
  • New York, NY
National Provider Identifier
1518608959
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
027880 Issued in NY
Practice address
247 3Rd Ave RM 202
New York, NY 10010-7453
Phone
(212) 641-0633
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 027880 NY Primary

Addresses

Primary practice location

247 3Rd Ave RM 202
New York, NY 10010-7453

Mailing address

601 W 57TH St Apt 34J
New York, NY 10019-1095
Phone (631) 357-0724

Other identifiers 1

IdentifierTypeStateIssuer
824131623OtherNYRDH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NYC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
027880NYMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1518608959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 57TH ST APT 34J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191095",
            "telephone_number": "631-357-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 3RD AVE RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107453",
            "telephone_number": "212-641-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANCASPRO",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "027880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH",
            "identifier": "824131623",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NYC",
            "affiliation": "N",
            "address_1": "247 3rd Ave Rm 202",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100107453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 6, 2022; 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.