Active NPI
Alan R Lampert, M.D.
- Family Medicine Physician
- Northport, NY
National Provider Identifier
1225035876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 133285
- Practice address
- 325 Main St
Northport, NY 11768-1790 - Phone
- (631) 261-4445
- Fax
- (631) 261-3710
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 133285 | NY | Primary |
Addresses
Primary practice location
325 Main St
Northport, NY 11768-1790
Mailing address
325 Main St
Northport, NY 11768-1790
Phone (631) 261-4445
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27A991 | Other | NY | MEDICARE LEGACY |
| CP520 | Other | OXFORD | |
| 0520031 | Other | AETNA | |
| 080019015 | Other | NY | MEDICARE RAILROAD PTAN |
| 1C2591 | Other | HEALTHNET | |
| 27A991 | Other | NY | BLUE CROSS BLUE SHIELD |
| 0018118 | Other | GHI | |
| 00533248 | Medicaid | NY | |
| 12999 | Other | VYTRA |
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 |
|---|---|---|---|
| 133285 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1225035876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681790",
"telephone_number": "631-261-4445",
"fax_number": "631-261-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAIN ST",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681790",
"telephone_number": "631-261-4445",
"fax_number": "631-261-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPERT",
"first_name": "ALAN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "133285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY",
"identifier": "27A991",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CP520",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0520031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "080019015",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1C2591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "27A991",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0018118",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00533248",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "12999",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.