Individual provider Active NPI

Andrew Lermer, DDS

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1023317708
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056245 Issued in NY
Practice address
935 Northern Blvd Ste 100
Great Neck, NY 11021-5309
Phone
(516) 482-0440
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056245 NY Primary

Addresses

Primary practice location

935 Northern Blvd Ste 100
Great Neck, NY 11021-5309

Mailing address

141 Franklin PL Ste a
Woodmere, NY 11598-1244
Phone (516) 374-2883

Other practice location 1

141 Franklin Pl Ste A
Woodmere, NY 11598-1244
Phone (516) 374-2883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603001705 NY Order and Referring Only - DentistPractitioner - Dentist 3779816970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056245NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Lermer CurrentSince Jan 31, 2021 Accepting new patients
Simply Dentistry of the North Shore CurrentSince May 8, 2022 Accepting new patients
Smiles 4 a Lifetime Dental PLLC General Practice Past Accepting new patients
Smiles 4 a Lifetime PC General Practice PastSince Jul 24, 2022 Accepting new patients

Locations

935 Northern Blvd
Ste 100
Great Neck, NY 11021
Phone (516) 482-0440

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1023317708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN PL STE A",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981244",
            "telephone_number": "516-374-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215309",
            "telephone_number": "516-482-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Franklin Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981244",
            "country_code": "US",
            "telephone_number": "516-374-2883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERMER",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.