Individual provider Active NPI

Lionel Emanuel Desroches, M.D.

  • Nephrology Physician
  • Laurelton, NY
National Provider Identifier
1003928987
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
172523 Issued in NY
Practice address
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone
(718) 949-6433
Fax
(718) 949-0331
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 172523 NY Primary
Internal Medicine Physician 207R00000X 172523 NY

Addresses

Primary practice location

22414 Merrick Blvd
Laurelton, NY 11413-2023

Mailing address

1975 Linden Blvd
Suite 105
Elmont, NY 11003-4025
Phone (516) 285-2850

Other practice location 1

1975 Linden Blvd
Suite 105
Elmont, NY 11003-4025
Phone (516) 285-2850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldesroches155005@nyumc.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000429 NY Practitioner - NephrologyPractitioner - Internal Medicine 1355357427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Hospital & facility affiliations

  • DaVita Garden City Dialysis Center Dialysis facility, Garden City, NY, CCN 332605
  • DaVita Queens Village Dialysis Center Dialysis facility, Queens Village, NY, CCN 332603
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172523NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
New York University Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Desroches, Joseph & Scott MD PC Past Accepting new patients

Locations

1975 Linden Blvd
Ste 105
Elmont, NY 11003
Phone (516) 285-2805

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

22802 Merrick Blvd
Fl 1
Laurelton, NY 11413
Phone (646) 501-4950

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ldesroches155005@nyumc.direct-ci.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1003928987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 LINDEN BLVD",
            "address_2": "SUITE 105",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034025",
            "telephone_number": "516-285-2850",
            "fax_number": "516-285-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22414 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132023",
            "telephone_number": "718-949-6433",
            "fax_number": "718-949-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Linden Blvd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Elmont",
            "state": "NY",
            "postal_code": "110034025",
            "country_code": "US",
            "telephone_number": "516-285-2850",
            "fax_number": "516-285-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "LIONEL",
        "middle_name": "EMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "172523",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldesroches155005@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "22414 Merrick Blvd",
            "city": "Laurelton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

Verify at the official NPI Registry.