Lyudmila Shimonova

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

058698 Issued in NY

Practice address

990 Stewart Ave Ste 450
Garden City, NY 11530-4857

Phone

(516) 362-0425

NPI assigned

Apr 15, 2015

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1902292014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE STE 450",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304857",
            "telephone_number": "516-362-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE STE 450",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304857",
            "telephone_number": "516-362-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMONOVA",
        "first_name": "LYUDMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Glasser, Physical Therapist. PC
• Steven Richard Sherwin, M.D.
• Dhara Sheth, PT
• Roopal H Sheth, M.S.
• Shi Elsharouny Dentistry PLLC
• Rachael Shine, LMSW
• Shirley K Molina DMD Ny PC
• Eric Young Shon
• Heather Ann Shook, BCBA
• Irena Shperling, MD

• Oral and Maxillofacial Surgery (Dentist) in Garden City, NY
• Providers in Garden City, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.