Ashley Mae Nacion Jimenez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

062782 Issued in NY

Practice address

87 Cold Spring Rd
Syosset, NY 11791-3109

Phone

(516) 921-1133

NPI assigned

Jan 27, 2021

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1003407677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 COLD SPRING RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913109",
            "telephone_number": "516-921-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 COLD SPRING RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913109",
            "telephone_number": "516-921-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ASHLEY MAE",
        "middle_name": "NACION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziba Jelveh, MD
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• Joshi John, MD
• Catherine Johnides
• Lauren Johnson, MS ED., MHC-LP

• General Practice Dentistry in Syosset, NY
• Providers in Syosset, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.