Active NPI
Lawrence J Weiss DDS PC
- Dental Clinic/Center
- Oceanside, NY
National Provider Identifier
1194709410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 043555
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01366169 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.