Individual provider Active NPI

Jeffrey Richard Lemler, D.D.S.

  • Periodontics
  • New York, NY
National Provider Identifier
1619059920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
035157-1 Issued in NY
Practice address
10 E 53Rd St
25TH FL.
New York, NY 10022-5244
Phone
(212) 983-1080
Fax
(212) 922-9232
NPI assigned
Oct 19, 2006
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
Periodontics 1223P0300X 035157-1 NY Primary

Addresses

Primary practice location

10 E 53Rd St
25TH FL.
New York, NY 10022-5244

Mailing address

10 E 53Rd St
25TH FL.
New York, NY 10022-5244
Phone (212) 983-1080

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
I20150212001835 NY Order and Referring Only - DentistPractitioner - Dentist 5092030106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035157-1NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619059920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 53RD ST",
            "address_2": "25TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225244",
            "telephone_number": "212-983-1080",
            "fax_number": "212-922-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 53RD ST",
            "address_2": "25TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225244",
            "telephone_number": "212-983-1080",
            "fax_number": "212-922-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMLER",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "035157-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.