Individual provider Active NPI

Carol Ellen Jaspin, DMD

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1053572826
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034756 Issued in NY
Practice address
41 East 57TH St Ste 2501
New York, NY 10022-1908
Phone
(212) 421-6055
Fax
(212) 751-6614
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 034756 NY Primary

Addresses

Primary practice location

41 East 57TH St Ste 2501
New York, NY 10022-1908

Mailing address

41 East 57TH St Ste 2501
New York, NY 10022-1908
Phone (212) 421-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 9, 2015 through Nov 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1053572826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EAST 57TH ST STE 2501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221908",
            "telephone_number": "212-421-6055",
            "fax_number": "212-751-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EAST 57TH ST STE 2501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221908",
            "telephone_number": "212-421-6055",
            "fax_number": "212-751-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPIN",
        "first_name": "CAROL",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.