Active NPI
Renee Joskow
- Public Health Dentistry
- Washington, DC
National Provider Identifier
1710001540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 040087
- Practice address
- 2100 2ND St SW
Room # B732
Washington, DC 20593-0002 - Phone
- (202) 372-4100
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 040087 | NY | Primary |
Addresses
Primary practice location
2100 2ND St SW
Room # B732
Washington, DC 20593-0002
Mailing address
PO Box 83024
Gaithersburg, MD 20883-3024
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 |
|---|---|---|---|
| 040087 | NY | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710001540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83024",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208833024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 2ND ST SW",
"address_2": "ROOM # B732",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205930002",
"telephone_number": "202-372-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSKOW",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NY",
"license": "040087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.