Active NPI
Derek Paul Cimler, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1932340585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053555
- Practice address
- 115 West 86 St
Ground Floor
New York, NY 10024 - Phone
- (212) 579-0213
- NPI assigned
- Mar 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 053555 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 009761 | CT |
Addresses
Primary practice location
115 West 86 St
Ground Floor
New York, NY 10024
Mailing address
230 East 48St
Apt 6E
New York, NY 10017
Phone (917) 318-4931
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
| License | State | Type | Specialty |
|---|---|---|---|
| 053555 | NY | MD | Clinical Social Worker |
| 009761 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1932340585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 EAST 48ST",
"address_2": "APT 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "917-318-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 WEST 86 ST",
"address_2": "GROUND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-579-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMLER",
"first_name": "DEREK",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053555",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "009761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.