Individual provider Active NPI

Eliza Haimi, DDS

  • Dentist
  • Great Neck, NY
National Provider Identifier
1871735274
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050145 Issued in NY
Practice address
7 Bond St
Suite 1D
Great Neck, NY 11021-2433
Phone
(516) 321-9060
NPI assigned
Mar 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 050145 NY Primary

Addresses

Primary practice location

7 Bond St
Suite 1D
Great Neck, NY 11021-2433

Mailing address

7 Bond St
Suite 1D
Great Neck, NY 11021-2433
Phone (516) 321-9060

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
050145NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1871735274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BOND ST",
            "address_2": "SUITE 1D",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212433",
            "telephone_number": "516-321-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BOND ST",
            "address_2": "SUITE 1D",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212433",
            "telephone_number": "516-321-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMI",
        "first_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.