Individual provider Active NPI

Willada Loch, BSN, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1215448717
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308502 Issued in NY
Practice address
121 E 60TH St Apt 1D
New York, NY 10022-1164
Phone
(212) 534-4704
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308502 NY Primary

Addresses

Primary practice location

121 E 60TH St Apt 1D
New York, NY 10022-1164

Mailing address

121 E 60TH St Apt 1D
New York, NY 10022-1164

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180109000325 NY Practitioner - Nurse Practitioner 6002175528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 26, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 28, 2019 Accepting new patients
Alexander Shifrin Medical PC CurrentSince Nov 6, 2017 Accepting new patients
New York University CurrentSince Jun 26, 2023 Accepting new patients

Locations

9920 4th Ave
Ste 205
Brooklyn, NY 11209
Phone (718) 238-4707

5724 New Utrecht Ave
Brooklyn, NY 11219
Phone (718) 436-0100

111 Broadway
Fl 4
New York, NY 10006
Phone (212) 263-9700

121 E 60th St
Apt 1D
New York, NY 10022
Phone (212) 534-4707

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: wloch574407@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1215448717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-534-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCH",
        "first_name": "WILLADA",
        "credential": "BSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.