Jaclyn Rose Huynh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

063499 Issued in NY

Practice address

85 Old Shore Rd Ste 201
Port Washington, NY 11050-2244

Phone

(516) 430-7730

NPI assigned

Nov 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhuynh4553592@nychhc.direct-ci.com

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.

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD
• New York City Health and Hospitals Corporation

  dba Broadway Community Health Center of Excellence

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1922736727
  NPD
• Mitchell Teitel and Michael Feldstein DDS PC

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1073613360
  NPD (past)

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1528833183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14809 NORTHERN BLVD APT 4J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544308",
            "telephone_number": "587-986-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD SHORE RD STE 201",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502244",
            "telephone_number": "516-430-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14401 Jewel Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113671722",
            "country_code": "US",
            "telephone_number": "718-261-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "JACLYN",
        "middle_name": "ROSE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Hinds, LPN
• Annie Hirsch
• Holistic Medical Supply Inc
• Holly Bienenstock, Dopc
• Kathy Hu
• I Love Hearing Inc
• Annmarie Iadevaio, RPH
• Maureen Ann Ibanez, MASPED
• Emily Ann Imondi, M.S.ED., M.A., LMHC
• Judy Inguagiato, LCSW

• Dentist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.

Verify at the official NPI Registry.