Active NPI
Eric Jon Ploumis, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brooklyn, NY
National Provider Identifier
1659599199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 38043
- Practice address
- 322 Stockholm St
Brooklyn, NY 11237-3902 - Phone
- (718) 366-3941
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 38043 | NY | Primary |
Addresses
Primary practice location
322 Stockholm St
Brooklyn, NY 11237-3902
Mailing address
453 2ND Ave
New York, NY 10010-2401
Phone (212) 685-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01535120 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38043 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1659599199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102401",
"telephone_number": "212-685-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 STOCKHOLM ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373902",
"telephone_number": "718-366-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOUMIS",
"first_name": "ERIC",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "38043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01535120",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.