Active NPI
Sylvia Jammal, DDS
- Prosthodontics
- Lockport, NY
National Provider Identifier
1962694950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 042421
- Practice address
- 16 Davison CT
Lockport, NY 14094 - Phone
- (716) 434-1195
- Fax
- (716) 434-2269
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 042421 | NY | Primary |
Addresses
Primary practice location
16 Davison CT
Lockport, NY 14094
Mailing address
16 Davison CT
Lockport, NY 14094
Phone (716) 434-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423001905 | NY | Practitioner - Oral Surgery | 1951629930 | Practice locations: Lockport, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015327 | NY | MD | Mental Health Counselor |
| 042421 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1962694950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DAVISON CT",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-434-1195",
"fax_number": "716-434-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 DAVISON CT",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-434-1195",
"fax_number": "716-434-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMMAL",
"first_name": "SYLVIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "042421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.