Individual provider Active NPI

Rimma Sheshelovskaya, DDS

  • General Practice Dentistry
  • Syosset, NY
National Provider Identifier
1669566444
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045635-1 Issued in NY
Practice address
18 Jackson Ave Ste 3a
Syosset, NY 11791-3137
Phone
(516) 364-8899
Fax
(516) 364-2562
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 045635-1 NY Primary

Addresses

Primary practice location

18 Jackson Ave Ste 3a
Syosset, NY 11791-3137

Mailing address

18 Jackson Ave Ste 3a
Syosset, NY 11791-3137
Phone (516) 364-8899

Other practice location 1

175 Jericho Tpke Ste 311
Syosset, NY 11791-4538
Phone (516) 921-1960

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
045635-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1669566444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 JACKSON AVE STE 3A",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913137",
            "telephone_number": "516-364-8899",
            "fax_number": "516-364-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 JACKSON AVE STE 3A",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913137",
            "telephone_number": "516-364-8899",
            "fax_number": "516-364-2562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Jericho Tpke Ste 311",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914538",
            "country_code": "US",
            "telephone_number": "516-921-1960",
            "fax_number": "516-921-1943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHESHELOVSKAYA",
        "first_name": "RIMMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045635-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.