Individual provider Active NPI

Ted Lao, MD

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1073007712
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
310996 Issued in NY
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 263-7500
NPI assigned
Jun 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 310996 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

1064 Jackson Ave Apt 4a
Long Island City, NY 11101-6598
Phone (925) 209-6745

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230607002439 NY Practitioner - Nephrology 5991162836 Reassigns benefits to 5 organizations
I20231012003668 NJ Practitioner - Nephrology 5991162836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
East Summit Medical PCGroup PAC ID 7618205618, 2 clinicians
Kidney Medical Associates PLLCGroup PAC ID 5698071868, 11 clinicians
BSD NJ Medical LLCGroup PAC ID 7012225766, 3 clinicians
Israel Schur MD PLLCGroup PAC ID 4082960687, 12 clinicians

Practice addresses (Care Compare)

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

301 E 17TH St
New York, NY 10003-3804
Phone (972) 842-4047

3327 Bainbridge Ave
Bronx, NY 10467-2801
Phone (718) 881-7100

360 Essex St
Suite 304
Hackensack, NJ 07601-8566
Phone (201) 646-0110

505 E 116TH St
FL 3
New York, NY 10029-1777
Phone (646) 791-2274

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • USRC North Flushing Dialysis facility, Flushing, NY, CCN 332848
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • 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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2023 Accepting new patients
East Summit Medical PC CurrentSince Jun 19, 2025 Accepting new patients
New York University CurrentSince Jun 1, 2023 Accepting new patients
Ny Endovascular Center LLC CurrentSince Nov 29, 2023 Accepting new patients
Israel Schur MD PLLC CurrentSince Jul 24, 2023 Accepting new patients
BSD Nephrology and Hypertension PA Nephrology CurrentSince Sep 15, 2023 Accepting new patients
Insight Comprehensive Medical PC CurrentSince Jun 19, 2025 Accepting new patients
Kidney Medical Associates PLLC CurrentSince Aug 28, 2025 Accepting new patients
Noam Spinowitz MD PLLC Nephrology Past Accepting new patients
Bronx Nephrology Hypertension PC Nephrology Past Accepting new patients

Locations

360 Essex St
Ste 301
Hackensack, NJ 07601
Phone (201) 646-0110

360 Essex St
Ste 304
Hackensack, NJ 07601
Phone (201) 646-0110

2818 31st St
#2
Astoria, NY 11102
Phone (718) 395-6247

2452 Bronx Park E
Bronx, NY 10467
Phone (718) 379-8100

34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060

1733 Eastchester Rd
Frnt 2
Bronx, NY 10461

1733 Eastchester Rd
Ste 3
Bronx, NY 10461
Phone (718) 409-2007

3327 Bainbridge Ave
Bronx, NY 10467
Phone (718) 324-6365

1733 Eastchester Rd
Fl 2
Bronx, NY 10461
Phone (347) 227-0790

34 Marconi St
Ste 100
Bronx, NY 10461
Phone (718) 794-1200

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

2707 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 352-7378

3030 Northern Blvd
Ste 501
Long Island City, NY 11101
Phone (718) 395-6247

505 E 116th St
Ste 300
New York, NY 10029
Phone (646) 791-2274

202 Centre St
Fl 5
New York, NY 10013
Phone (212) 966-2020

40 Bowery
New York, NY 10013

505 E 116th St
Fl 2
New York, NY 10029

505 E 116th St
Fl 3
New York, NY 10029

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

505 E 116th St
Ste 400
New York, NY 10029
Phone (646) 362-3178

182 Industrial Rd
Glen Rock, PA 17327
Phone (717) 235-9352

Networks

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

Interoperability endpoints

  • Direct secure messaging: tlao457144@nyumc.direct-ci.com

Organizations & group practices 11

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 10

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": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1073007712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 JACKSON AVE APT 4A",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016598",
            "telephone_number": "925-209-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123139",
            "country_code": "US",
            "telephone_number": "718-240-5037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAO",
        "first_name": "TED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-17",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "310996",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.