Individual provider Active NPI

Joel Michael Preminger, D.M.D.

  • Pediatric Dentistry
  • Cedarhurst, NY
National Provider Identifier
1003044850
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
055050 Issued in NY
Practice address
87 Elderd LN
Cedarhurst, NY 11516-2013
Phone
(516) 239-1200
Fax
(516) 324-3032
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X P70907 NY
Pediatric Dentistry 1223P0221X 055050 NY Primary

Addresses

Primary practice location

87 Elderd LN
Cedarhurst, NY 11516-2013

Mailing address

87 Elderd LN
Cedarhurst, NY 11516-2013
Phone (516) 239-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P70907NYMDDentist
055050NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Village Dentistry PLLC Dentist Current Accepting new patients
Franklin Square Dental PLLC Dentist Current Accepting new patients
Great Neck Dental PLLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

87 Elderd Ln
Cedarhurst, NY 11516
Phone (516) 239-1200

11 Grace Ave
Ste 101
Great Neck, NY 11021
Phone (516) 482-7566

Interoperability endpoints

  • Direct secure messaging: joelpreminger@mai.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1003044850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ELDERD LN",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162013",
            "telephone_number": "516-239-1200",
            "fax_number": "516-324-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ELDERD LN",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162013",
            "telephone_number": "516-239-1200",
            "fax_number": "516-324-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMINGER",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "P70907",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.