Active NPI
Timothy Albert Lane, M.D.
- Anesthesiology Physician
- Montauk, NY
National Provider Identifier
1104093962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME41884
- Practice address
- 17 Wills Point Rd
Montauk, NY 11954-5198 - Phone
- (850) 491-2319
- NPI assigned
- May 12, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME41884 | FL | Primary |
Addresses
Primary practice location
17 Wills Point Rd
Montauk, NY 11954-5198
Mailing address
17 Wills Point Rd
Montauk, NY 11954-5198
Phone (850) 491-2319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264019800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME41884 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Anesthesia Associates PA | Past | Accepting new patients | |
| Lake Shore Hma Medical Group LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Leesburg, FL
- NPI 1033163464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1104093962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WILLS POINT RD",
"city": "MONTAUK",
"state": "NY",
"postal_code": "119545198",
"telephone_number": "850-491-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WILLS POINT RD",
"city": "MONTAUK",
"state": "NY",
"postal_code": "119545198",
"telephone_number": "850-491-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "TIMOTHY",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME41884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264019800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montauk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.