Individual provider Active NPI

Lawrence Jay Kobren, D.D.S.

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1659342103
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039738 Issued in NY
Practice address
488 Great Neck Rd
300
Great Neck, NY 11021-4308
Phone
(516) 466-5222
Fax
(516) 466-5525
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039738 NY Primary

Addresses

Primary practice location

488 Great Neck Rd
300
Great Neck, NY 11021-4308

Mailing address

488 Great Neck Rd
300
Great Neck, NY 11021-4308
Phone (516) 466-5222

Other identifiers 1

IdentifierTypeStateIssuer
039738OtherNYSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
039738NYMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: lkobren471840@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659342103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 GREAT NECK RD",
            "address_2": "300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214308",
            "telephone_number": "516-466-5222",
            "fax_number": "516-466-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 GREAT NECK RD",
            "address_2": "300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214308",
            "telephone_number": "516-466-5222",
            "fax_number": "516-466-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBREN",
        "first_name": "LAWRENCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "039738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.