Julie Desimone, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

053204 Issued in NY

Practice address

800 Woodbury Rd
Suite H
Woodbury, NY 11797-2503

Phone

(516) 364-2333

Fax

(516) 364-4765

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 18, 2015 through Dec 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bohemia Dental Arts

  • General Practice Dentistry
  • Bohemia, NY
  • NPI 1912338773
  NPD (past) Authorized official
• North Shore Prosthodontics of Woodbury

  • Dentist
  • Woodbury, NY
  • NPI 1003903253
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1740488584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JOSEPHINE CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683061",
            "telephone_number": "516-491-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD",
            "address_2": "SUITE H",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-364-2333",
            "fax_number": "516-364-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Michael Nurse Practitioner in Psychiatry PC
• Day-Op Center of Long Island LLC
• Juliana Nicole De Vito, M.S. CF-SLP
• Brooke Denner, LMHC
• Smina Desai
• Milagros Diaz, MD
• Heidi Dawn Dietl
• Cathy Distefano, OMT
• Jessica Dizinno
• Carolyn G Dombrowski, NPP

• Dentist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.