Quisqueya Dental

Primary specialty

DentistTaxonomy code 122300000X

License

051596-1 Issued in NY

Legal business name

QUISQUEYA DENTAL

Practice address

11310 Jamaica Ave
Richmond Hill, NY 11418-2440

Phone

(718) 847-8807

Fax

(718) 847-9464

NPI assigned

Sep 19, 2007

Organization subpart

Yes

Parent organization

QUISQUEYA DENTAL PCAs reported in NPPES

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

Authorized official

Name

Dr. Manuel A Hernandez, DDS

Title

Dentist

Phone

(718) 847-8807

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QUISQUEYA DENTAL Former legal business name

Tax ID family

Quisqueya Dental PC3 organizations share this tax ID, including this one

Part of

Quisqueya Dental PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Quisqueya Dental PC

  • General Practice Dentistry
  • Richmond Hill, NY
  • NPI 1013184613
  NPD tax ID
• Quisqueya Dental PC

  • Dentist
  • Richmond Hill, NY
  • NPI 1285809046
  NPD tax ID

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1780870261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182440",
            "telephone_number": "718-847-8807",
            "fax_number": "718-847-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182440",
            "telephone_number": "718-847-8807",
            "fax_number": "718-847-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUISQUEYA DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUISQUEYA DENTAL PC",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-847-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051596-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02579899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUISQUEYA DENTAL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Queens Medical Professional PC
• Queens Professional Medical Care,P.C.
• Queens Wellness Medical Care, P.C.
• Leonard Emil Quendangan
• Christopher Roberto Quispe
• Quisqueya Dental PC
• Quisqueya Dental PC
• Hifza Qureshi, P.A.
• Diana Rabooki
• Irina Rachuk

• Dentist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.