Individual provider Active NPI

Nasim Lasemi, DMD, MS

  • Periodontics
  • Holmdel, NJ
National Provider Identifier
1427797497
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02898500 Issued in NJ
Practice address
999 Palmer Ave Ste 1
Holmdel, NJ 07733-1088
Phone
(732) 671-7100
NPI assigned
May 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 22DI02898500 NJ Primary

Addresses

Primary practice location

999 Palmer Ave Ste 1
Holmdel, NJ 07733-1088

Mailing address

3 Ronson Rd Apt 1309
Iselin, NJ 08830-3092
Phone (217) 722-7671

Other practice location 1

23659 Columbus Rd Ste 1
Columbus, NJ 08022-1980
Phone (160) 929-8580

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22DI02898500NJMDPeriodontist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7143/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1653782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1427797497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RONSON RD APT 1309",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303092",
            "telephone_number": "217-722-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PALMER AVE STE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331088",
            "telephone_number": "732-671-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23659 Columbus Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080221980",
            "country_code": "US",
            "telephone_number": "160-929-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASEMI",
        "first_name": "NASIM",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-29",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02898500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.