Active NPIIndividual provider

Dr. Jacqueline I Nussbaum, DDS, MS

Dentist, Periodontics in New Rochelle, New York

NPI Number1992853055
Practice location
77 Quaker Ridge RD, Suite 206, New Rochelle, NY 10804-2808
Fax
—
Last updated
July 8, 2007

Jacqueline I Nussbaum is a Dentist, Periodontics based in New Rochelle, NY. Jacqueline I Nussbaum practices in New Rochelle, NY and has the professional credentials of DDS, MS. The NPI Number for Jacqueline I Nussbaum is 1992853055 and holds a License No. 046469 (NY). The current practice location address for Jacqueline I Nussbaum is 77 Quaker Ridge RD, Suite 206, New Rochelle, NY 10804-2808 and can be reached out via phone at 917-636-4118.

Provider Profile Details

NPI Number
1992853055
Provider Name
Jacqueline I Nussbaum
Credential
DDS, MS
Provider Entity Type
Individual
Gender
Female
Address
77 Quaker Ridge RD, Suite 206, New Rochelle, NY 10804-2808
Phone Number
917-636-4118
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Quaker Ridge RD
Suite 206
New Rochelle, NY 10804-2808
Zip
10804-2808
Phone Number
917-636-4118
New Rochelle, NY 10804Get directions →

Provider Business Mailing Address Details

Address
65 Magnolia Ln
Jericho, NY 11753-2228
City
Jericho
State
NY
Zip
11753-2228
Phone Number
516-938-1747

License Information

License Number
046469
License State
NY
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Jacqueline I Nussbaum, DDS, MS?

The NPI number of Dr. Jacqueline I Nussbaum, DDS, MS is 1992853055. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jacqueline I Nussbaum, DDS, MS?

Dr. Jacqueline I Nussbaum, DDS, MS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NY under license number 046469.

Where does Dr. Jacqueline I Nussbaum, DDS, MS practice?

The practice location is 77 Quaker Ridge RD, Suite 206, New Rochelle, NY 10804-2808. The office can be reached at 917-636-4118 (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 1992853055 directly on the NPPES registry website.

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