Active NPI
Jonathan Bruce Kameros, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- South Richmond Hill, NY
National Provider Identifier
1871563478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 027576
- Practice address
- 10301 Lefferts Blvd
South Richmond Hill, NY 11419-2011 - Phone
- (718) 848-7756
- Fax
- (718) 848-1860
- NPI assigned
- Jan 25, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 027576 | NY | Primary |
Addresses
Primary practice location
10301 Lefferts Blvd
South Richmond Hill, NY 11419-2011
Mailing address
10301 Lefferts Blvd
South Richmond Hill, NY 11419-2011
Phone (718) 848-7756
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CIGNA | Other | NY | 8598697004 |
| UNITED CONCORDIA | Other | NY | 121771 |
| 70934 | Other | NY | AETNA HEALTH CARE |
| DS523 | Other | NY | OXFORD HEALTH PLANS |
| 6070 | Other | NY | DEL;TA DENTAL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871563478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 LEFFERTS BLVD",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192011",
"telephone_number": "718-848-7756",
"fax_number": "718-848-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 LEFFERTS BLVD",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192011",
"telephone_number": "718-848-7756",
"fax_number": "718-848-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMEROS",
"first_name": "JONATHAN",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "027576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "8598697004",
"identifier": "CIGNA",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "121771",
"identifier": "UNITED CONCORDIA",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "70934",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "DS523",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEL;TA DENTAL",
"identifier": "6070",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Richmond Hill, 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.