Individual provider Active NPI

Anthony Steven Lambrakos, DDS

  • Prosthodontics
  • New York, NY
National Provider Identifier
1083860092
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
051340-1 Issued in NY
Practice address
1 Rockefeller PLZ
RM 2208
New York, NY 10020-2032
Phone
(212) 265-5257
NPI assigned
Aug 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 051340-1 NY Primary

Addresses

Primary practice location

1 Rockefeller PLZ
RM 2208
New York, NY 10020-2032

Mailing address

1 Rockefeller PLZ
RM 2208
New York, NY 10020-2032

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408000494 NY Order and Referring Only - DentistPractitioner - Dentist 8325346299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051340-1NYMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1083860092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROCKEFELLER PLZ",
            "address_2": "RM 2208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROCKEFELLER PLZ",
            "address_2": "RM 2208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202032",
            "telephone_number": "212-265-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBRAKOS",
        "first_name": "ANTHONY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-09",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "051340-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.