Organization Active NPI

Lawrence J Weiss DDS PC

  • Dental Clinic/Center
  • Oceanside, NY
National Provider Identifier
1194709410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
043555 Issued in NY
Legal business name
LAWRENCE J WEISS DDS PC
Practice address
3131 Lawson Blvd
Oceanside, NY 11572-3717
Phone
(516) 764-3062
Fax
(516) 764-0266
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence J Weiss, DDS
Title
Dentist Owner
Phone
(516) 764-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 043555 NY Primary

Addresses

Primary practice location

3131 Lawson Blvd
Oceanside, NY 11572-3717

Mailing address

3131 Lawson Blvd
Oceanside, NY 11572-3717
Phone (516) 764-3062

Other identifiers 1

IdentifierTypeStateIssuer
01366169MedicaidNY

National Provider Directory

National Provider Directory

Locations

3131 Lawson Blvd
Oceanside, NY 11572
Phone (516) 764-3062

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194709410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LAWSON BLVD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723717",
            "telephone_number": "516-764-3062",
            "fax_number": "516-764-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LAWSON BLVD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723717",
            "telephone_number": "516-764-3062",
            "fax_number": "516-764-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J WEISS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "516-764-3062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "043555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.