NPIMap

Organization Active NPI

All Ages Medical Care, PLLC

  • Family Medicine Physician
  • West Nyack, NY
National Provider Identifier
1073654950
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2067871 Issued in NY
Legal business name
ALL AGES MEDICAL CARE, PLLC
Practice address
2 Medical Park Dr
Suite 5
West Nyack, NY 10994-1965
Phone
(845) 535-3007
NPI assigned
Feb 12, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Jay Lorah, D.O.
Title
Physician
Phone
(845) 535-3007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 2067871 NY Primary

Addresses

Primary practice location

2 Medical Park Dr
Suite 5
West Nyack, NY 10994-1965

Mailing address

2 Medical Park Dr
Suite 5
West Nyack, NY 10994-1965
Phone (845) 535-3007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1073654950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965",
            "telephone_number": "845-535-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965",
            "telephone_number": "845-535-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AGES MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "LORAH",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-535-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2067871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.