Organization Active NPI

Bruce Lum Nathaniel Sasson LLP

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1164693784
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037741 Issued in NY
Legal business name
BRUCE LUM NATHANIEL SASSON LLP
Practice address
370 9TH St
Brooklyn, NY 11215-8131
Phone
(718) 965-9823
Fax
(718) 499-5700
NPI assigned
Mar 23, 2008
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BRUCE LUM NATHANIEL SASSON LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Bruce Lum, DMD
Title
Partner
Phone
(718) 965-9823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037741 NY Primary

Addresses

Primary practice location

370 9TH St
Brooklyn, NY 11215-8131

Mailing address

370 9TH St
Brooklyn, NY 11215-8131
Phone (718) 965-9823

Other identifiers 1

IdentifierTypeStateIssuer
02365199MedicaidNY

National Provider Directory

National Provider Directory
Part of
Bruce Lum Nathaniel Sasson LLP

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1164693784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158131",
            "telephone_number": "718-965-9823",
            "fax_number": "718-499-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158131",
            "telephone_number": "718-965-9823",
            "fax_number": "718-499-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE LUM NATHANIEL SASSON LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUCE LUM NATHANIEL SASSON LLP",
        "enumeration_date": "2008-03-23",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-965-9823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.