Organization Active NPI

Rochdale Dental Care, PLLC

  • General Practice Dentistry
  • Jamaica, NY
National Provider Identifier
1952652182
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043356 Issued in NY
Legal business name
ROCHDALE DENTAL CARE, PLLC
Practice address
16544A Baisley Blvd
Jamaica, NY 11434-2517
Phone
(718) 723-5656
Fax
(718) 723-6017
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Marlene Reynolds-CoxNPI 1922090927
Title
Owner
Phone
(718) 723-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1952652182",
    "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": "718-723-6017"
        },
        {
            "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": {
        "organization_name": "ROCHDALE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS-COX",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-723-5656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.