Individual provider Active NPI

Leon Tuberman, DMD

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1295390706
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100023234 Issued in NY
Practice address
464 Neptune Ave Apt 12G
Brooklyn, NY 11224-4306
Phone
(718) 372-2899
NPI assigned
May 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100023234 NY Primary

Addresses

Primary practice location

464 Neptune Ave Apt 12G
Brooklyn, NY 11224-4306

Mailing address

464 Neptune Ave Apt 12G
Brooklyn, NY 11224-4306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltuberm1@binghamton.edu Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100023234NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1295390706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NEPTUNE AVE APT 12G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NEPTUNE AVE APT 12G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244306",
            "telephone_number": "718-372-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBERMAN",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "100023234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltuberm1@binghamton.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "464 Neptune Ave Apt 12G",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112244306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.