Philip Lon Hirschhorn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030684-1 Issued in NY

Practice address

35 Broadway
Hicksville, NY 11801-4266

Phone

(516) 822-8700

Fax

(516) 822-2396

NPI assigned

May 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1487820221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014266",
            "telephone_number": "516-822-8700",
            "fax_number": "516-822-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014266",
            "telephone_number": "516-822-8700",
            "fax_number": "516-822-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHHORN",
        "first_name": "PHILIP",
        "middle_name": "LON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030684-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "030684-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hicksville Public Schools
• Hicksville RX Inc.
• Hicksville Vision Express LLC
• Faisal Hilaby
• Jennifer Janet Hilaire, RN
• Rebecca Ho
• Mark Hochman, D.D.S.
• Deirdre Jean Holland, LCSW-R
• Jan Holman
• Ronald Stuart Holzman, MD

• General Practice Dentistry in Hicksville, NY
• Providers in Hicksville, 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 Dec 17, 2013; 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.