Active NPI
Michael E. Lessin, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- New Hyde Park, NY
National Provider Identifier
1922069293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 053824
- Practice address
- 27005 76TH Ave
Long Island Jewish Medical Center
New Hyde Park, NY 11040-1402 - Phone
- (718) 470-7113
- Fax
- (718) 470-3483
- NPI assigned
- Mar 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS026634R | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 053824 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
Long Island Jewish Medical Center
New Hyde Park, NY 11040-1402
Mailing address
27005 76TH Ave
Long Island Jewish Medical Center
New Hyde Park, NY 11040-1402
Phone (718) 470-7113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001156051 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS026634R | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 053824 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1922069293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"address_2": "LONG ISLAND JEWISH MEDICAL CENTER",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "718-470-7113",
"fax_number": "718-470-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"address_2": "LONG ISLAND JEWISH MEDICAL CENTER",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "718-470-7113",
"fax_number": "718-470-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSIN",
"first_name": "MICHAEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS026634R",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "053824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001156051",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.