Active NPI
Eridania Maria Baez Quezada, DDS
- General Practice Dentistry
- Suffern, NY
National Provider Identifier
1851591184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052104-1
- Practice address
- 7 Hemion Rd
Suffern, NY 10901-4919 - Phone
- (347) 661-6638
- NPI assigned
- Jul 24, 2007
- Last updated
- May 1, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052104-1 | NY | Primary |
Addresses
Primary practice location
7 Hemion Rd
Suffern, NY 10901-4919
Mailing address
7 Hemion Rd Ste 210
Suffern, NY 10901-4928
Phone (845) 357-3244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02717444 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160628001042 | NY | Order and Referring Only - Dentist | 1153612825 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052104-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramapo Oral and Maxillofacial Surgery, PC | Past | Accepting new patients | |
| Andre J. Codispoti, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy Physician
- Suffern, NY
- NPI 1821138645
-
- Oral and Maxillofacial Surgery (Dentist)
- Suffern, NY
- NPI 1568521847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1851591184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HEMION RD STE 210",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014928",
"telephone_number": "845-357-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HEMION RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014919",
"telephone_number": "347-661-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEZ QUEZADA",
"first_name": "ERIDANIA",
"middle_name": "MARIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052104-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02717444",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.