Individual provider Active NPI

Jay A Ascher, D.D.S.

  • General Practice Dentistry
  • Oceanside, NY
National Provider Identifier
1063597060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31287 Issued in NY
Practice address
422 Waukena Ave
Oceanside, NY 11572-4539
Phone
(516) 766-1648
Fax
(516) 763-1699
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 31287 NY Primary

Addresses

Primary practice location

422 Waukena Ave
Oceanside, NY 11572-4539

Mailing address

422 Waukena Ave
Oceanside, NY 11572-4539
Phone (516) 766-1648

Other identifiers 3

IdentifierTypeStateIssuer
00307699MedicaidNY
105883OtherNYDORAL DENTAL
116787OtherNYUNITED CONCORDIA

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
I20150720000812 NY Order and Referring Only - DentistPractitioner - Dentist 5395058424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31287NYMDGeneral Practice Dentistry
031287NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063597060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WAUKENA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724539",
            "telephone_number": "516-766-1648",
            "fax_number": "516-763-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WAUKENA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724539",
            "telephone_number": "516-766-1648",
            "fax_number": "516-763-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHER",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "31287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00307699",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "105883",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "116787",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.