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Deactivated NPI 1699859074 Deactivated / Inactive NPI Female Practitioner

Dr. Jacqueline Fosque-Johnson , DDS

Dentist - General Practice • Bronx, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacqueline Fosque-Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2006
NPI Deactivation Date August 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Fosque-Johnson, DDS was a registered Dentist - General Practice practicing in Bronx, NY. Throughout an active medical career spanning 19 years, Dr. Fosque-Johnson provided care at the practice location at 305 E 161ST ST until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

305 E 161st St

Bronx, NY 104513535

Telephone 7185792500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 038094-1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Benjamin Hayes , MD

Internal Medicine

NPI 1003262015

Doctor of Medicine (M.D.)

Dr. Joanna Starrels , MD, MS

Internal Medicine - Addiction Medicine

NPI 1124031729

Doctor of Medicine (M.D.), Master of Science

NPI 1134204514

Doctor of Medicine (M.D.)

NPI 1144305509

Doctor of Medicine (M.D.)

Dr. Joseph Deluca , MD

Internal Medicine

NPI 1184717308

Doctor of Medicine (M.D.)

Kira Batist

Social Worker - Clinical

NPI 1215395892

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 305 E 161ST ST, BRONX, NY 104513535 (Tel: 7185792500)

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Updated Business Mailing Address July 08, 2007

Registered at 256 COUNTRY RIDGE RD, SCARSDALE, NY 105836653 (Tel: 9144720922)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUELINE FOSQUE-JOHNSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #038094-1 in NY)

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Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699859074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: July 08, 2007
Deactivation Date: August 28, 2025

Mailing Address

256 Country Ridge Rd

Scarsdale, NY 105836653

Phone: 9144720922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.