Lawrence Gottesman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033216 Issued in NY

Practice address

66 Lincoln Court
Suite a
Rockville Centre, NY 11570

Phone

(516) 678-4004

Fax

(516) 678-4564

NPI assigned

Mar 25, 2006

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

Other names 1

• Lawrence Gottesman Other name

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

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1629038328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LINCOLN CT",
            "address_2": "SUITE A",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705777",
            "telephone_number": "516-678-4004",
            "fax_number": "516-678-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LINCOLN COURT",
            "address_2": "SUITE A",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-678-4004",
            "fax_number": "516-678-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02721855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "GOTTESMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shondell N Goodridge
• Priscilla Gordon, CRNA
• Leah Gorham, MPH, RDN
• Marissa Evers Gorlesky, PT
• Lisa Marie Gorton, LMHC
• Dennis Jay Gottlieb, LCSW
• Janice Grant, LCSW
• John Andrew Grant, M.D.
• Cheryl Gray, LPN
• Steven Gray

• General Practice Dentistry in Rockville Centre, NY
• Providers in Rockville Centre, 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 Oct 8, 2010; 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.