Individual provider Active NPI

Circe Nicole Lassegue, DDS

  • General Practice Dentistry
  • Queens Village, NY
National Provider Identifier
1336671833
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060098 Issued in NY
Practice address
21820 Hempstead Ave
Queens Village, NY 11429-1235
Phone
(718) 217-8700
Fax
(718) 217-8701
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 060098 NY Primary

Addresses

Primary practice location

21820 Hempstead Ave
Queens Village, NY 11429-1235

Mailing address

21820 Hempstead Ave
Queens Village, NY 11429-1235
Phone (305) 793-9219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727002922 NY Practitioner - Dentist 2264773571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060098NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Circe Lassegue DDS, PLLC CurrentSince Feb 2, 2025 Accepting new patients
Harlem Medical Associates PC CurrentSince Oct 21, 2020 Accepting new patients

Locations

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

21820 Hempstead Ave
Queens Village, NY 11429
Phone (305) 793-9219

Interoperability endpoints

  • Direct secure messaging: classegue1363702@nychhc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1336671833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21820 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291235",
            "telephone_number": "305-793-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 HEMPSTEAD AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291235",
            "telephone_number": "718-217-8700",
            "fax_number": "718-217-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEGUE",
        "first_name": "CIRCE",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.