Jeffrey Carrasquillo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

045010 Issued in NY

Practice address

6625 Maurice Ave
Woodside, NY 11377-7536

Phone

(718) 651-5941

Fax

(718) 261-4742

NPI assigned

Nov 29, 2012

Sex

Male

Sole proprietor

Yes

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

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.

• Jeffrey Carrasquillo DMD PLLC

  • General Practice Dentistry
  • Woodside, NY
  • NPI 1376765859
  NPD (past) Authorized official

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1699010736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 MAURICE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777536",
            "telephone_number": "718-651-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MAURICE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777536",
            "telephone_number": "718-651-5941",
            "fax_number": "718-261-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "JEFFREY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Carchipulla
• Lilia Cardona, D.D.S.
• Maria Pilar Cardona, OTR
• Cortney Carey
• Mirela Carnaru, D.O.
• Marcelo Enrique Carrizo
• William Joseph Carron, LCSW
• Saray Caruso, MS
• Lauren C Casaletto, PT, DPT
• Barbara A. Casazza, N.P.

• Dentist in Woodside, NY
• Providers in Woodside, 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 29, 2012; 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.