Daniel Simon Nassimi, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

064088 Issued in NY

Practice address

1 School St Unit 107
Glen Cove, NY 11542-2544

Phone

(516) 674-9400

NPI assigned

Feb 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1144853656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST UNIT 107",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST UNIT 107",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422544",
            "telephone_number": "516-674-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Waters Pl Ste 503",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612732",
            "country_code": "US",
            "telephone_number": "718-824-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSIMI",
        "first_name": "DANIEL",
        "middle_name": "SIMON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "29124",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "064088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabio Murillo, LAC
• Sarah Murray, RN, IBCLC
• Mary Muscarello, NP, CDE
• Mylene Colucci MD PC
• Same M Napier, L.P.N
• Arthur Natale, PT
• Ambika Nath, D.O.
• Indrani Nath
• Natural Essentials
• Nelson Lee D.C., P.C.

• Oral and Maxillofacial Surgery (Dentist) in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.