Organization Active NPI

Jennifer Sipkin DDS, PC

  • Preferred Provider Organization
  • Valley Stream, NY
National Provider Identifier
1649688276
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
053206 Issued in NY
Legal business name
JENNIFER SIPKIN DDS, PC
Practice address
514 W Merrick Rd
Valley Stream, NY 11580-5126
Phone
(516) 561-1881
Fax
(516) 561-1823
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Jennifer Sipkin, DDS
Title
Owner
Phone
(516) 561-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 053206 NY Primary

Addresses

Primary practice location

514 W Merrick Rd
Valley Stream, NY 11580-5126

Mailing address

514 W Merrick Rd
Valley Stream, NY 11580-5126
Phone (516) 561-1881

Other names 1

  • sipkin orthodontics Other name

National Provider Directory

National Provider Directory

Locations

514 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 561-1881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1649688276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805126",
            "telephone_number": "516-561-1881",
            "fax_number": "516-561-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805126",
            "telephone_number": "516-561-1881",
            "fax_number": "516-561-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SIPKIN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "SIPKIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-561-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "053206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sipkin orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.