Myrna O Regino, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042613 Issued in NY

Practice address

722 Broadway
Brooklyn, NY 11206-4403

Phone

(718) 387-1365

NPI assigned

Oct 27, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A. Maskell D.D.S. and S.Maskell D.D.S., P.C.

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1073503215
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1871583013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TERRACE AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064403",
            "telephone_number": "718-387-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINO",
        "first_name": "MYRNA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01236819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Regina, PTA
• Regina'S Speech Language Pathology
• Regine Medical PLLC
• Isabella Regine, DO
• Regoberto Reginio, PT
• Regional Physician Services, NJ, PC
• Regional Physician Services, PC
• Anne E Regis, BS
• Jaed Maureen Regis, LPN
• Jefferson Anaud Regis

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 15, 2013; 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.