Dr Alejandro Dejesus, DDS | |
5406 Myrtle Ave, Suite 101, Ridgewood, NY 11385-3453 | |
(718) 497-7100 | |
(718) 417-4294 |
Full Name | Dr Alejandro Dejesus |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 5406 Myrtle Ave, Ridgewood, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457332561 | NPI | - | NPPES |
01607487 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 045912 (New York) | Primary |
Entity Name | New York City Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
Mailing Address | Practice Location Address |
---|---|
Dr Alejandro Dejesus, DDS 5406 Myrtle Ave, Suite 101, Ridgewood, NY 11385-3453 Ph: (718) 497-7100 | Dr Alejandro Dejesus, DDS 5406 Myrtle Ave, Suite 101, Ridgewood, NY 11385-3453 Ph: (718) 497-7100 |
Dorota M Kwapisiewicz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6007 Myrtle Ave, Ridgewood, NY 11385 Phone: 718-456-2727 Fax: 718-456-2728 | |
Dr. Suresh N Bendale, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 337 Saint Nicholas Ave, Ridgewood, NY 11385 Phone: 718-366-4107 Fax: 718-366-4107 | |
Ana Livia Polanco, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1640 Madison St, Ridgewood, NY 11385 Phone: 718-456-0751 Fax: 718-418-2407 | |
Waldo Cubero, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 681a Seneca Ave, Ridgewood, NY 11385 Phone: 917-407-0282 | |
Ronald S Wershba, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5621 Metropoliatan Ave, Ridgewood, NY 11385 Phone: 718-281-2149 | |
Inna Vaksman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5647 Myrtle Avenue, 1st Floor, Ridgewood, NY 11385 Phone: 718-417-6300 Fax: 718-417-3535 | |
Mrs. Dorota Gasior, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1917 Woodbine St, Ridgewood, NY 11385 Phone: 917-270-9315 |