- Practice location
- 12 Lochness Ln Ph, New City, NY 10956-1515
- Phone
- 917-645-8998
- Fax
- —
- Last updated
- July 22, 2025
Jack Fuentes is an Early Intervention Provider Agency based in New City, NY. Jack Fuentes practices in New City, NY. The NPI Number for Jack Fuentes is 1689556664. The current practice location address for Jack Fuentes is 12 Lochness Ln Ph, New City, NY 10956-1515 and can be reached out via phone at 917-645-8998.
Provider Profile Details
- NPI Number
- 1689556664
- Provider Name
- Jack Fuentes
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Lochness Ln Ph, New City, NY 10956-1515
- Phone Number
- 917-645-8998
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 22, 2025
- Last Update Date
- July 22, 2025
- Certification Date
- July 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Lochness Ln Ph
New City, NY 10956-1515 - City
- New City
- State
- New York
- Zip
- 10956-1515
- Phone Number
- 917-645-8998
Provider Business Mailing Address Details
- Address
- 12 Lochness Ln Ph
New City, NY 10956-1515 - City
- New City
- State
- NY
- Zip
- 10956-1515
- Phone Number
- 917-645-8998
- Fax Number
- 917-645-8998
License Information
- License State
- NY
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jack Fuentes?
The NPI number of Jack Fuentes is 1689556664. It was assigned on July 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Jack Fuentes?
Jack Fuentes is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Jack Fuentes practice?
The practice location is 12 Lochness Ln Ph, New City, NY 10956-1515. The office can be reached at 917-645-8998 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689556664 directly on the NPPES registry website.