Individual provider Active NPI

Ashley Talia Lerman, DDS

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1376044479
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
061173 Issued in NY
Practice address
722 W 168TH St
New York, NY 10032-3727
Phone
(212) 305-6754
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Pediatric Dentistry 1223P0221X 061173 NY Primary

Addresses

Primary practice location

722 W 168TH St
New York, NY 10032-3727

Mailing address

140 W 58TH St Apt 8a
New York, NY 10019-2110
Phone (516) 698-2363

Other practice location 1

713 Pierce Rd
Clifton Park, NY 12065-1302
Phone (518) 373-1181

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
I20221220002152 NY Order and Referring Only - DentistPractitioner - Dentist 6709255482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Firstgrin LLC Current Accepting new patients
McDonnell and McMahon Pediatric Dentistry PLLC Pediatric Dentistry PastSince Oct 1, 2020 Accepting new patients

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1376044479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 58TH ST APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192110",
            "telephone_number": "516-698-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323727",
            "telephone_number": "212-305-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Pierce Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120651302",
            "country_code": "US",
            "telephone_number": "518-373-1181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERMAN",
        "first_name": "ASHLEY",
        "middle_name": "TALIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.