Active NPI
Ashley Talia Lerman, DDS
- Pediatric Dentistry
- New York, NY
National Provider Identifier
1376044479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 061173
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221220002152 | NY | Order and Referring Only - Dentist | 6709255482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstgrin LLC | Current | Accepting new patients | |
| McDonnell and McMahon Pediatric Dentistry PLLC | Pediatric Dentistry | Past | 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.
-
- Public Health or Welfare Agency
- New York, NY
- NPI 1659217594
-
- Pediatric Dentistry
- Clifton Park, NY
- NPI 1821486754
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.