Jolly Anne Cherry, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046360 Issued in NY

Practice address

3630 Hill Blvd
Suite 201
Jefferson Valley, NY 10535-1502

Phone

(914) 962-7337

Fax

(914) 962-1725

NPI assigned

Mar 21, 2007

Last updated

May 18, 2009By 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

Practice roles

Locations

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.

• Bardonia Dental PLLC

  • General Practice Dentistry
  • Bardonia, NY
  • NPI 1265274211
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1891811808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ONONDAGA ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041947",
            "telephone_number": "914-886-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "SUITE 201",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351502",
            "telephone_number": "914-962-7337",
            "fax_number": "914-962-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "JOLLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "046360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Brein, DMD
• Kayleigh M Britton
• Richard Brodsky, PSYD.
• Patricia N Burkitt, PT
• Jolee Caro
• Frederick William Cich, D.C.
• Aleia Journez Codner, M.S. CCC-SLP
• Robert Cross, DDS
• Benjamin Dancygier, DDS
• Sharona Daube, PA-C

• General Practice Dentistry in Jefferson Valley, NY
• Providers in Jefferson Valley, 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 May 18, 2009; 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.