Jay Allen Ledner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038827 Issued in NY

Practice address

6004 Marathon Pkwy
Douglaston, NY 11362-2041

Phone

(718) 225-4433

Fax

(718) 225-8162

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 27, 2015 through Nov 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dentist of Little Neck PLLC

  • General Practice Dentistry
  • Douglaston, NY
  • NPI 1912761313
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245284876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 MARATHON PKWY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622041",
            "telephone_number": "718-225-4433",
            "fax_number": "718-225-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 MARATHON PKWY",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622041",
            "telephone_number": "718-225-4433",
            "fax_number": "718-225-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDNER",
        "first_name": "JAY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha A. Kumta, OTR
• Ashok Kumta, OTR/L
• Myoung J Kyong, ACUPUNCTURIST
• Deborah Ann Lawson, PHD
• Paula S Lederman, RPH
• Aileen Leibman
• Lisa Ellen Lempel-Sander, L
• Iris Friedman Levine, LCSW
• Lex Psychological Services PC
• Melissa Lillien, LCSW

• General Practice Dentistry in Douglaston, NY
• Providers in Douglaston, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.