NPIMap

Organization Active NPI

S. Lawrence Simon, D.D.S., P.C.

  • Periodontics
  • New York, NY
National Provider Identifier
1437583291
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
024662 Issued in NY
Legal business name
S. LAWRENCE SIMON, D.D.S., P.C.
Practice address
30 Central Park S
Suite 10-D
New York, NY 10019-1628
Phone
(212) 317-2055
Fax
(212) 317-2056
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. S. Lawrence Simon, D.D.S.,P.C.
Title
Periodontist
Phone
(212) 317-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 024662 NY Primary

Addresses

Primary practice location

30 Central Park S
Suite 10-D
New York, NY 10019-1628

Mailing address

30 Central Park S
Suite 10-D
New York, NY 10019-1628
Phone (212) 317-2055

Other names 1

  • S. LAWRENCE SIMON, D.D.S., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

30 Central Park S
Rm 10D
New York, NY 10019
Phone (212) 317-2055

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437583291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S",
            "address_2": "SUITE 10-D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191628",
            "telephone_number": "212-317-2055",
            "fax_number": "212-317-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S",
            "address_2": "SUITE 10-D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191628",
            "telephone_number": "212-317-2055",
            "fax_number": "212-317-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. LAWRENCE SIMON, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "S. LAWRENCE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "212-317-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,P.C."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "024662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S. LAWRENCE SIMON, D.D.S., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.