Jennifer F John-Borde, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040626-1 Issued in NY

Practice address

9050 Francis Lewis Blvd
Queens Village, NY 11428-1069

Phone

(718) 740-4700

Fax

(718) 740-4716

NPI assigned

Mar 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710016175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BIRCHWOOD DR N",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801905",
            "telephone_number": "516-872-4052",
            "fax_number": "516-872-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281069",
            "telephone_number": "718-740-4700",
            "fax_number": "718-740-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN-BORDE",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040626-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02120065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonella Jimenez
• Jocelyn Taglinao Jimenez, PT
• Marie P Joachim
• Kristen Joassaint
• Daniel Joffre
• Gifty S John
• Gracy John
• Jessy K John
• Kendra Marlina Milicent John
• Letitia John

• General Practice Dentistry in Queens Village, NY
• Providers in Queens Village, NY by specialty
• General Practice Dentistry in New York

• 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.

Verify at the official NPI Registry.