Active NPI
Anthony Reyes
- Dental Hygienist
- New York, NY
National Provider Identifier
1629652953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 030100-1
- Practice address
- 60 Madison Ave
New York, NY 10010-1600 - Phone
- (212) 545-2441
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 030100-1 | NY | Primary |
Addresses
Primary practice location
60 Madison Ave
New York, NY 10010-1600
Mailing address
732 Saint Marks Ave Apt 34
Brooklyn, NY 11216-3796
Phone (570) 909-7518
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
| License | State | Type | Specialty |
|---|---|---|---|
| 030100-1 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1629652953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SAINT MARKS AVE APT 34",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112163796",
"telephone_number": "570-909-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "030100-1",
"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 May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.