Lynda Susan Asadourian, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

060470 Issued in NY

Practice address

308 Main St
Port Washington, NY 11050-2707

Phone

(516) 944-3400

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1740834076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REGINA LN",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452717",
            "telephone_number": "516-317-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502707",
            "telephone_number": "516-944-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADOURIAN",
        "first_name": "LYNDA",
        "middle_name": "SUSAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.godental365.com/locations/new-york/long-island/port-washington-office/",
            "affiliation": "N",
            "address_1": "308 Main St",
            "city": "Port Washington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110502707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pediatric Dentistry in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.