Individual provider Active NPI

Karl W Lanks, MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1053370577
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1035221 Issued in NY
Practice address
868 Carroll St
Brooklyn, NY 11215-1702
Phone
(917) 361-6986
Fax
(718) 783-4114
NPI assigned
Mar 22, 2006
Last updated
May 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1035221 NY Primary

Addresses

Primary practice location

868 Carroll St
Brooklyn, NY 11215-1702

Mailing address

868 Carroll St
Brooklyn, NY 11215-1702
Phone (917) 361-6986

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
I20160413000816 NY Order and Referring Only - PathologyPractitioner - Pathology 6608891106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1035221NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Pathology PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1053370577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151702",
            "telephone_number": "917-361-6986",
            "fax_number": "718-783-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151702",
            "telephone_number": "917-361-6986",
            "fax_number": "718-783-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKS",
        "first_name": "KARL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1035221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.