Jeffrey D Haimson DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042896 Issued in NY

Legal business name

JEFFREY D HAIMSON DMD PLLC

Practice address

8306 Northern Blvd
Jackson Heights, NY 11372-1460

Phone

(718) 429-0440

Fax

(718) 429-0342

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Haimson, DMDNPI 1407922156

Title

Owner

Phone

(718) 429-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey David Haimson, DMD

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1407922156
  NPD (past) Authorized official

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1417116013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 06 NORTHERN BOULEVARD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "070541460",
            "telephone_number": "718-429-0440",
            "fax_number": "718-429-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721460",
            "telephone_number": "718-429-0440",
            "fax_number": "718-429-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D HAIMSON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HAIMSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-429-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01221392",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kulwinder Kaur Jaswal, RN
• John A Jauregui, M.A.
• Mohammad Jawaid, M.D.
• Jeannette Cano-Landivar Medical Office PC (Everest Medical Group)
• Jeff K H Cheung Medicine PLLC
• Elena L. Jenkins, L.AC.
• Olive Nerissa Jennas Leung, LPN
• Vidhi Jethava
• Kevin Nan Jiang, MD
• Jill Fabian RN PLLC (JPF Nursing Services)

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.