Active NPI
Ashley Brooke Wilmot, DMD
- Pediatric Dentistry
- North Babylon, NY
National Provider Identifier
1609511096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 064514
- Practice address
- 1476 Deer Park Ave
North Babylon, NY 11703-1200 - Phone
- (631) 474-6553
- NPI assigned
- May 1, 2022
- Last updated
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 064514 | NY | Primary |
Addresses
Primary practice location
1476 Deer Park Ave
North Babylon, NY 11703-1200
Mailing address
104 Willets Dr
Syosset, NY 11791-3920
Phone (516) 640-0753
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721003439 | NY | Order and Referring Only - Dentist | 9133500119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064514 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1609511096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WILLETS DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913920",
"telephone_number": "516-640-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 DEER PARK AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031200",
"telephone_number": "631-474-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOT",
"first_name": "ASHLEY",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-01",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "064514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
- Amy Wenz
- Peter E. Wharton, RPA-C
- Khadejah Williams-Silvera, NP
- Steven Hamuel Williams Jr., LPN
- Valarie Williams, MS,CCC-SLP
- Winthrop Community Medical Affiliates, P.C. (Long Island Medical Care Services)
- Winthrop Community Medical Affiliates, PC (Winthrop Medical Affiliates at North Babylon)
- WW Medical Wellness PLLC
- Xtramile LLC (Xtramile Nursing Services)
- Laraib Zahid
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.