Individual provider Active NPI

Ellen H Karen, R.DH.

  • Dental Hygienist
  • Spring Valley, NY
National Provider Identifier
1659416113
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
007895 Issued in NY
Practice address
728 N Main St
Refuah Health Center
Spring Valley, NY 10977-1960
Phone
(845) 354-9300
Fax
(845) 354-4298
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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 007895 NY Primary

Addresses

Primary practice location

728 N Main St
Refuah Health Center
Spring Valley, NY 10977-1960

Mailing address

728 N Main St
Refuah Health Center
Spring Valley, NY 10977-1960
Phone (845) 354-9300

Other identifiers 1

IdentifierTypeStateIssuer
01421705MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1659416113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N MAIN ST",
            "address_2": "REFUAH HEALTH CENTER",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771960",
            "telephone_number": "845-354-9300",
            "fax_number": "845-354-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N MAIN ST",
            "address_2": "REFUAH HEALTH CENTER",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771960",
            "telephone_number": "845-354-9300",
            "fax_number": "845-354-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREN",
        "first_name": "ELLEN",
        "middle_name": "H",
        "credential": "R.DH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "007895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.