Individual provider Active NPI

Marlene Reynolds-Cox, DDS

  • General Practice Dentistry
  • Jamaica, NY
National Provider Identifier
1922090927
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043356 Issued in NY
Practice address
16544A Baisley Blvd
Jamaica, NY 11434-2517
Phone
(718) 723-5656
Fax
(718) 723-6017
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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 043356 NY Primary

Addresses

Primary practice location

16544A Baisley Blvd
Jamaica, NY 11434-2517

Mailing address

16544A Baisley Blvd
Jamaica, NY 11434-2517
Phone (718) 723-5656

Other identifiers 1

IdentifierTypeStateIssuer
00665274MedicaidNY

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
I20161010001142 NY Order and Referring Only - DentistPractitioner - Dentist 2466740386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rochdale Dental Care, PLLC 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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1922090927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16544A BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342517",
            "telephone_number": "718-723-5656",
            "fax_number": "717-723-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16544A BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342517",
            "telephone_number": "718-723-5656",
            "fax_number": "718-723-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-COX",
        "first_name": "MARLENE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.