Individual provider Active NPI

Myron Druxserman, DDS

  • Dentist
  • Bellmore, NY
National Provider Identifier
1053501346
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028729 Issued in NY
Practice address
2427 Merrick Rd
Bellmore, NY 11710-5703
Phone
(516) 826-5511
Fax
(516) 826-4587
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 028729 NY Primary

Addresses

Primary practice location

2427 Merrick Rd
Bellmore, NY 11710-5703

Mailing address

2427 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-5511

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
I20150608001843 NY Order and Referring Only - DentistPractitioner - Dentist 2365763935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028729NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1053501346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105703",
            "telephone_number": "516-826-5511",
            "fax_number": "516-826-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105703",
            "telephone_number": "516-826-5511",
            "fax_number": "516-826-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUXSERMAN",
        "first_name": "MYRON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.