Jeslin Thomas, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

055089 Issued in NY

Practice address

182 W Montauk Hwy
Building B Suite E
Hampton Bays, NY 11946-2345

Phone

(631) 728-8400

NPI assigned

Apr 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hampton Bays Dental Associates P.C.

  • General Practice Dentistry
  • Hampton Bays, NY
  • NPI 1407151715
  NPD (past)

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1447494158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W MONTAUK HWY",
            "address_2": "BUILDING B SUITE E",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W MONTAUK HWY",
            "address_2": "BUILDING B SUITE E",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462345",
            "telephone_number": "631-728-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESLIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southampton Pediatric Associates PC
• Brooke Sparacio
• Maureen Elizabeth Stefanidis
• Joanne Marie Taylor, REGISTERED NURSE
• The Stop & Shop Supermarket Company LLC
• Town of Southampton
• Donna M. Trees-Barker, ANP
• Kenneth Micheal Troeller, LMSW
• Alex Tschubarjan, O.D.
• Shawn Tsekhan

• Dentist in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.

Verify at the official NPI Registry.