Active NPI
Jeffrey Bleicher, D.D.S.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1902896152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 031292
- Practice address
- 1532 Flatbush Ave
Brooklyn, NY 11210-2427 - Phone
- (718) 434-5800
- Fax
- (718) 434-8260
- NPI assigned
- Oct 27, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 031292 | NY | Primary |
Addresses
Primary practice location
1532 Flatbush Ave
Brooklyn, NY 11210-2427
Mailing address
432 Buchanan Ave
Staten Island, NY 10314-4103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00305739 | Medicaid | NY |
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": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1902896152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 BUCHANAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144103",
"fax_number": "718-434-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102427",
"telephone_number": "718-434-5800",
"fax_number": "718-434-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEICHER",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "031292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00305739",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.