Individual provider Active NPI

Jennifer C Pichardo, DDS

  • General Practice Dentistry
  • New Rochelle, NY
National Provider Identifier
1891784526
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048881-1 Issued in NY
Practice address
140 Lockwood Ave
Suite 215
New Rochelle, NY 10801-4915
Phone
(914) 235-7453
Fax
(914) 813-0381
NPI assigned
Oct 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048881-1 NY Primary

Addresses

Primary practice location

140 Lockwood Ave
Suite 215
New Rochelle, NY 10801-4915

Mailing address

140 Lockwood Ave
Suite 215
New Rochelle, NY 10801-4915
Phone (914) 235-7453

Other identifiers 1

IdentifierTypeStateIssuer
02119262MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625000851 NY Order and Referring Only - DentistPractitioner - Dentist 2365753761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048881-1NYMDGeneral Practice Dentistry
048881NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Pichardo DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891784526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 215",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-235-7453",
            "fax_number": "914-813-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 215",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-235-7453",
            "fax_number": "914-813-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048881-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02119262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.