Cambria Health Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

064175 Issued in NY

Legal business name

CAMBRIA HEALTH MEDICAL, P.C.

Practice address

11751 220TH St
Cambria Heights, NY 11411-1608

Phone

(718) 723-4303

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mario LavelanetNPI 1972583953

Title

Owner

Phone

(718) 723-4303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJACBA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Lavelanet, M.D.

  • Internal Medicine Physician
  • Cambria Heights, NY
  • NPI 1972583953
  Medicare reassignment Authorized official
• Lisa E Graubart, LCSW

  • Clinical Social Worker
  • Cambria Heights, NY
  • NPI 1366589145
  NPD
• Robert Y Jean-Bart, MD

  • Psychiatry Physician
  • Forest Hills, NY
  • NPI 1417997347
  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1174912240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 159TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321103",
            "telephone_number": "718-723-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 220TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111608",
            "telephone_number": "718-723-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIA HEALTH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "LAVELANET",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-723-4303",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "064175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norda B Calder
• Maureen L Calender
• Nataly Calvo
• Cambria Dentistry PLLC
• Cambria Familyhealth
• Cambria Pharmacy LLC
• Cambria Pharmacy LLC
• Camkids Pediatrics PC (Marie-Paule Dupiton MD)
• Devin Justin Campbell
• Menroy Campbell

• Internal Medicine Physician in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.