Organization Active NPI

Jessica Loo Marn, DDS, PC

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1811169535
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JESSICA LOO MARN, DDS, PC
Practice address
128 Mott St
Suite 203
New York, NY 10013-5540
Phone
(212) 965-8113
Fax
(212) 965-8114
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Jessica Loo Marn
Title
Pediatric Dentist / Business Owner
Phone
(212) 965-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

128 Mott St
Suite 203
New York, NY 10013-5540

Mailing address

128 Mott St
Suite 203
New York, NY 10013-5540
Phone (212) 965-8113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1811169535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-965-8113",
            "fax_number": "212-965-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-965-8113",
            "fax_number": "212-965-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LOO MARN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "LOO MARN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST / BUSINESS OWNER",
        "authorized_official_telephone_number": "212-965-8113",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.