Individual provider Active NPI

Judd Lesser, D.D.S

  • Dentist
  • Hewlett, NY
National Provider Identifier
1619022498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43688 Issued in NY
Practice address
22 Franklin Ave
Hewlett, NY 11557-2016
Phone
(516) 295-0181
Fax
(516) 295-0759
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43688 NY Primary

Addresses

Primary practice location

22 Franklin Ave
Hewlett, NY 11557-2016

Mailing address

22 Franklin Ave
Hewlett, NY 11557-2016
Phone (516) 295-0181

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001906 NY Order and Referring Only - DentistPractitioner - Dentist 9931410479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43688NYMDDentist
043688NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619022498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FRANKLIN AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572016",
            "telephone_number": "516-295-0181",
            "fax_number": "516-295-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FRANKLIN AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572016",
            "telephone_number": "516-295-0181",
            "fax_number": "516-295-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSER",
        "first_name": "JUDD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "43688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.