Rose Jocelyn Amable, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

057815-1 Issued in NY

Practice address

961 East 174TH Street
Suite B150
Bronx, NY 10460

Phone

(718) 861-8060

Fax

(718) 861-8065

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1851667604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E 174TH ST",
            "address_2": "SUITE B150",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605060",
            "telephone_number": "718-861-8060",
            "fax_number": "718-861-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 EAST 174TH STREET",
            "address_2": "SUITE B150",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-861-8060",
            "fax_number": "718-861-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMABLE",
        "first_name": "ROSE",
        "middle_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057815-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rusha A. Alyafi, DDS
• Raim Mahdi Alyasiri, M.D.
• Karina Alyurov, PHARM.D., RPH
• Laith Alzyood, MD
• Am PM Medical P.C.
• Fransisca Amadasu-Omorogbe, RN
• Amy Osamuedeomomen Amadasu
• Jessica H Amadeo-Guzman, M.S.ED
• Ryan Amadeus, CCC-SLP
• Marthachristy Amadi

• Pediatric Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.

Verify at the official NPI Registry.