Active NPI
Andrew E Lan, MD
- Internal Medicine Physician
- Yonkers, NY
National Provider Identifier
1003856964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07724400
- Practice address
- 1010 Central Park Ave
Yonkers, NY 10704-1044 - Phone
- (914) 964-4000
- Fax
- (914) 964-4044
- NPI assigned
- Jun 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07724400 | NJ | Primary |
Addresses
Primary practice location
1010 Central Park Ave
Yonkers, NY 10704-1044
Mailing address
1010 Central Park Ave
Yonkers, NY 10704-1044
Phone (914) 964-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255K1 | Other | WELLCHOICE | |
| 0064408 | Medicaid | NJ | |
| P3324373 | Other | NJ | OXFORD |
| 0502624002 | Other | CIGNA | |
| 041164 | Other | AETNA |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
- Revival Home Health Care
- Montefiore Med Ctr Home Care Chha
- Americare Certified Special Services, Inc Chha
- Montefiore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Lawrence J Berman MD LLC | Internal Medicine | Past | Accepting new patients |
| Pain Medicine and Anesthesia PC | Past | Accepting new patients |
Locations
2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300
111 E 210th St
Bronx, NY 10467
1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1134183676
-
- Pain Medicine (Anesthesiology) Physician
- Franklin Lakes, NJ
- NPI 1386925394
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Staten Island, NY
- NPI 1841233178
-
- Home Health Agency
- Bronx, NY
- NPI 1265591168
-
- Home Health Agency
- Bronx, NY
- NPI 1457406621
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1003856964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041044",
"telephone_number": "914-964-4000",
"fax_number": "914-964-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107041044",
"telephone_number": "914-964-4000",
"fax_number": "914-964-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAN",
"first_name": "ANDREW",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07724400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCHOICE",
"identifier": "0255K1",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0064408",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3324373",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0502624002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "041164",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.