Active NPI
Laurie Fleisher, DMD
- Endodontics
- New York, NY
National Provider Identifier
1053409904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 006888
- Practice address
- 726 Broadway Ste 350
New York, NY 10003-9616 - Phone
- (212) 443-1300
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 006888 | CT | Primary |
Addresses
Primary practice location
726 Broadway Ste 350
New York, NY 10003-9616
Mailing address
345 East 24 Street
New York, NY 10010
Phone (212) 998-9942
Other practice location 1
345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236354 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006888 | CT | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053409904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 EAST 24 STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROADWAY STE 350",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039616",
"telephone_number": "212-443-1300"
}
],
"practiceLocations": [
{
"address_1": "345 E 24th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100104020",
"country_code": "US",
"telephone_number": "212-998-9942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEISHER",
"first_name": "LAURIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CT",
"license": "006888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236354",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.