Gina M. Prokosch-Cook, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045579-1 Issued in NY

Practice address

45 Quassaick Ave
New Windsor, NY 12553-6713

Phone

(845) 569-8900

Fax

(845) 569-8916

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871632042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 QUASSAICK AVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536713",
            "telephone_number": "845-569-8900",
            "fax_number": "845-569-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 QUASSAICK AVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536713",
            "telephone_number": "845-569-8900",
            "fax_number": "845-569-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOSCH-COOK",
        "first_name": "GINA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045579-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02318156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pandurang M Prabhu, M.D
• Pushpa Prabhu, M.D.
• Jenna Marie Prego, M.S., CCC-SLP
• Anthony Herbert Primus, LMSW
• George J Profeta, MD
• Susan A Pucci, RN
• Quasar a Choudhury Internal Medicine PC.
• Viviana Quinones, LCSW
• Belisa S Radoncic
• Patricia Ann Rainaldi, ANP

• General Practice Dentistry in New Windsor, NY
• Providers in New Windsor, 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 Jul 8, 2007; 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.