Individual provider Active NPI

Jacob Jonathan Pleshty, DDS

  • Dentist
  • Hempstead, NY
National Provider Identifier
1144865189
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061724 Issued in NY
Practice address
NH Dental &Medical
95 Clinton Street
Hempstead, NY 11550
Phone
(516) 622-2222
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Dentist 122300000X 061724 NY Primary

Addresses

Primary practice location

NH Dental &Medical
95 Clinton Street
Hempstead, NY 11550

Mailing address

6838 Yellowstone Blvd Apt B37
Forest Hills, NY 11375-3425
Phone (646) 875-0223

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
061724NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jpda Dental Services PLLC CurrentSince Jul 7, 2024 Accepting new patients
Da&JP Denistry PLLC Current Accepting new patients
Da & JP Dental PLLC Dentist Current Accepting new patients

Locations

268 W Merrick Rd
Freeport, NY 11520
Phone (516) 378-3200

1044 Northern Blvd
Ste 306
Roslyn, NY 11576
Phone (516) 466-1177

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1144865189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 YELLOWSTONE BLVD APT B37",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753425",
            "telephone_number": "646-875-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NH DENTAL &MEDICAL",
            "address_2": "95 CLINTON STREET",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-622-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESHTY",
        "first_name": "JACOB",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.