Individual provider Active NPI

Jeffrey L. Sherer, D.D.S.

  • Dentist
  • Rockville Centre, NY
National Provider Identifier
1881813848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028574 Issued in NY
Practice address
176 N Village Ave
Suite 2B
Rockville Centre, NY 11570-3800
Phone
(516) 766-0874
Fax
(516) 766-0872
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 028574 NY Primary

Addresses

Primary practice location

176 N Village Ave
Suite 2B
Rockville Centre, NY 11570-3800

Mailing address

176 N Village Ave
Suite 2B
Rockville Centre, NY 11570-3800
Phone (516) 766-0874

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
028574NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881813848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "SUITE 2B",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-766-0874",
            "fax_number": "516-766-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "SUITE 2B",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-766-0874",
            "fax_number": "516-766-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERER",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.