DR. LIBIA REBECA JIMENEZ DDS NPI 1578636668

NPI Information

NPI: 1578636668
Provider Name: DR. LIBIA REBECA JIMENEZ, DDS
Classification: Dentist - 1223P0221X
Specialization: Pediatric Dentistry
Entity Type: Individual
Address: 600 W 146TH ST
GROUND FLOOR
NEW YORK, NY
ZIP 10031
Phone: (212) 368-9532

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NPI Details

DR. Libia Rebeca Jimenez, DDS is a pediatric dentistry dentist in New York, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Libia Rebeca Jimenez, DDS NPI is 1578636668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 W 146TH ST
GROUND FLOOR
NEW YORK, NY
ZIP 10031-301
Phone: (212) 368-9532
Fax: (212) 368-2245

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	045307-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01477283	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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