Active NPI
Theresa C. Lanzone, M.D.
- Pediatric Adolescent Medicine Physician
- Long Beach, NY
National Provider Identifier
1063596898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 155668
- Practice address
- 350 National Blvd
Suite 2C
Long Beach, NY 11561-3327 - Phone
- (516) 432-0545
- Fax
- (516) 432-0597
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 155668 | NY | Primary |
Addresses
Primary practice location
350 National Blvd
Suite 2C
Long Beach, NY 11561-3327
Mailing address
350 National Blvd
Suite 2C
Long Beach, NY 11561-3327
Phone (516) 432-0545
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220604000023 | NY | Practitioner - Pediatric Medicine | 0446638399 | Practice locations: Long Beach, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- New York Medical College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 National Blvd
2C
Long Beach, NY 11561-3327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063596898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NATIONAL BLVD",
"address_2": "SUITE 2C",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613327",
"telephone_number": "516-432-0545",
"fax_number": "516-432-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NATIONAL BLVD",
"address_2": "SUITE 2C",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613327",
"telephone_number": "516-432-0545",
"fax_number": "516-432-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZONE",
"first_name": "THERESA",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "155668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- 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.