JENESSA OO DDS
NPI 1699904805
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since July 09, 2009PECOS Enrolled
4802 10TH AVE, MAIMONIDES MEDICAL CENTER, DEPARTMENT OF DENTISTRY, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jenessa Oo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENESSA OO DDS (NPI 1699904805) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699904805
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENESSA OOCredential: DDS
Location Address4802 10TH AVE, MAIMONIDES MEDICAL CENTER, DEPARTMENT OF DENTISTRYBrooklyn, NY 11219-2916
Mailing Address964 49th St Apt Ee2Brooklyn, NY 11219-2945 · (626) 487-9296
Sole ProprietorYes
Enumeration DateJuly 9, 2009
NPI 1699904805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4802 10TH AVE, Brooklyn, NY 11219

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jenessa Oo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenessa Oo's NPI number?

The NPI number for Jenessa Oo is 1699904805. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Jenessa Oo located?

Jenessa Oo practices at 4802 10th Ave Maimonides Medical Center, Department Of Dentistry, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Jenessa Oo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jenessa Oo enrolled in Medicare?

Yes. Jenessa Oo is registered in the Medicare PECOS enrollment system.

What insurance does Jenessa Oo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jenessa Oo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenessa Oo was last updated on July 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.