Organization Active NPI

Simply Dentistry of the North Shore

  • Dental Clinic/Center
  • Great Neck, NY
National Provider Identifier
1154067981
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMPLY DENTISTRY OF THE NORTH SHORE
Practice address
935 Northern Blvd Ste 100
Great Neck, NY 11021-5309
Phone
(516) 482-0440
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. Andrew Lermer, DDSNPI 1023317708
Title
Owner
Phone
(718) 216-1329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

935 Northern Blvd Ste 100
Great Neck, NY 11021-5309

Mailing address

935 Northern Blvd Ste 100
Great Neck, NY 11021-5309
Phone (516) 482-0440

Other names 1

  • Andrew Lermer Former legal business name

National Provider Directory

National Provider Directory

Locations

935 Northern Blvd
Ste 100
Great Neck, NY 11021
Phone (516) 482-0440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1154067981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215309",
            "telephone_number": "516-482-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215309",
            "telephone_number": "516-482-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DENTISTRY OF THE NORTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "LERMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-216-1329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew Lermer",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.