David Laks, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

203546 Issued in NY

Practice address

13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930

Phone

(718) 850-6345

Fax

(718) 559-4895

NPI assigned

May 18, 2007

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Care Counseling Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1588066716
  Medicare reassignment NPD
• Project Hospitality, Inc.

  • Case Management Agency
  • Staten Island, NY
  • NPI 1598882284
  Medicare reassignment NPD
• Wound Physician PLLC

  • Specialist
  • Flushing, NY
  • NPI 1063765923
  Medicare reassignment NPD
• Complete Medical PC

  • Adult Medicine Physician
  • Briarwood, NY
  • NPI 1780918771
  Authorized official Same address or phone
• Bronx Addiction Treatment Center

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1013099498
  NPD (past)
• Kingsboro Addiction Treatment Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1790870913
  NPD (past)
• Narco Freedom Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1174562003
  NPD (past)
• Project Hospitality Inc.

  dba Project Hospitality Recovery Program

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1356468540
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1093923559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 116TH ST",
            "address_2": "1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262494",
            "telephone_number": "646-432-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 QUEENS BLVD",
            "address_2": "1ST FLOOR",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352930",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203546",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "203546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02349099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Kormendi, M.D.
• Erika Korpacz
• Pramoda Kozhikotte
• Lap Yin Kwok, LMSW
• Ademola Augustine Ladapo, M.D.
• Deleta Lunette Lawrence, RN BSN
• Krystlelyn Leano-Apostol, PT
• Stuart B. Leon, D.P.M.
• Lev Yagudayev Physician, PC
• Michael Liang, M.D.

• Family Medicine Physician in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.