Lloyd M. Lasser Dba Newburgh Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

029823 Issued in NY

Legal business name

LLOYD M. LASSER DBA NEWBURGH DENTAL GROUP

Practice address

53 Route 17K
Newburgh, NY 12550-3922

Phone

(845) 565-2140

Fax

(845) 565-2229

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lloyd Martin Lasser, D.M.D.

Title

Sole Proprietor

Phone

(845) 565-2140

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1225289911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ROUTE 17K",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503922",
            "telephone_number": "845-565-2140",
            "fax_number": "845-565-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ROUTE 17K",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503922",
            "telephone_number": "845-565-2140",
            "fax_number": "845-565-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD M. LASSER DBA NEWBURGH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "LASSER",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-565-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.