Individual provider Active NPI

Jeffrey A Sherman, DDS

  • General Practice Dentistry
  • East Islip, NY
National Provider Identifier
1285622894
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030465 Issued in NY
Practice address
375 E Main St
East Islip, NY 11730
Phone
(631) 581-5121
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 030465 NY Primary

Addresses

Primary practice location

375 E Main St
East Islip, NY 11730

Mailing address

237 Fox Hollow Rd
Woodbury, NY 11797-1634
Phone (631) 678-7272

Other practice location 1

1237 Montauk Hwy
Oakdale, NY 11769-1434
Phone (631) 567-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1285622894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 FOX HOLLOW RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971634",
            "telephone_number": "631-678-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-581-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "NY",
            "postal_code": "117691434",
            "country_code": "US",
            "telephone_number": "631-567-2100",
            "fax_number": "631-567-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.