Active NPI
Jordana A Fleischer, DMD
- Endodontics
- Merrick, NY
National Provider Identifier
1073830741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 052853-1
- Practice address
- 31 Merrick Ave
Suite 140
Merrick, NY 11566-3477 - Phone
- (516) 379-6599
- Fax
- (516) 379-6730
- NPI assigned
- Apr 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 052853-1 | NY | Primary |
Addresses
Primary practice location
31 Merrick Ave
Suite 140
Merrick, NY 11566-3477
Mailing address
31 Merrick Ave
Suite 140
Merrick, NY 11566-3477
Phone (516) 379-6599
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052853-1 | NY | MD | Endodontist |
| 052853 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1073830741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MERRICK AVE",
"address_2": "SUITE 140",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663477",
"telephone_number": "516-379-6599",
"fax_number": "516-379-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MERRICK AVE",
"address_2": "SUITE 140",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663477",
"telephone_number": "516-379-6599",
"fax_number": "516-379-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHER",
"first_name": "JORDANA",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "052853-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.