Josefa a Rivas DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSEFA A RIVAS DDS PC

Practice address

4527 47 Street
Woodside, NY 11377

Phone

(718) 482-8065

Fax

(718) 482-8066

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Josefa RivasNPI 1245386713

Title

President

Phone

(718) 482-8065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josefa A Rivas, D.D.S.

  • General Practice Dentistry
  • Woodside, NY
  • NPI 1245386713
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1831645407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 47TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775225",
            "telephone_number": "718-482-8065",
            "fax_number": "718-482-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 47 STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-482-8065",
            "fax_number": "718-482-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEFA A RIVAS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JOSEFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-482-8065",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chenelle Jones, AGPCNP-BC
• Dahna Jones
• Susann Jones
• Claudette Jordan
• Jose Serruya, M.D.P.C.
• Joseph Fifield, LMHC
• Deandra Abriell Joseph, M.S., CCC-SLP
• Shana Joseph
• JPPR Networking Services
• JRJ Chiropractic

• General Practice Dentistry in Woodside, NY
• Providers in Woodside, 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 Sep 1, 2016; 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.