Individual provider Active NPI

Nazneen Rehan Jaffri, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1578944823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058875 Issued in NY
Practice address
286 Madison Ave Ste 1000
New York, NY 10017-6381
Phone
(212) 337-9571
NPI assigned
Jun 12, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 058875 NY Primary

Addresses

Primary practice location

286 Madison Ave Ste 1000
New York, NY 10017-6381

Mailing address

350 W 50TH St
Apt# 6N
New York, NY 10019-6664
Phone (917) 886-9048

Other identifiers 1

IdentifierTypeStateIssuer
008068762MedicaidCT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241213000507 NY Order and Referring Only - DentistPractitioner - Dentist 1557897592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058875NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Family Dental, PC Current Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: njaffri1852164@nychhc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578944823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 50TH ST",
            "address_2": "APT# 6N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196664",
            "telephone_number": "917-886-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE STE 1000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176381",
            "telephone_number": "212-337-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFRI",
        "first_name": "NAZNEEN",
        "middle_name": "REHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008068762",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.