Individual provider Active NPI

Robert Lorenz Jr., MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1245764307
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
310613 Issued in NY
Practice address
32 Ericsson PL
New York, NY 10013-2411
Phone
(212) 374-9750
NPI assigned
Apr 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 310613 NY Primary

Addresses

Primary practice location

32 Ericsson PL
New York, NY 10013-2411

Mailing address

3102 Yellowstone Dr
Arlington, TX 76013-1145
Phone (817) 908-9397

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708003019 NY Practitioner - Dermatology 3779985064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam Geyer MD PCGroup PAC ID 4587730478, 5 clinicians

Practice addresses (Care Compare)

30 -32 Ericsson Place
First Floor
New York, NY 10013-2411
Phone (212) 374-9750

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions157
Skin biopsy85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Geyer MD PC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Paru Chaudhari MD PLLC Single Specialty CurrentSince Jul 20, 2021 Accepting new patients

Locations

32 Ericsson Pl
Fl 1
New York, NY 10013

32 Ericsson Pl
New York, NY 10013
Phone (212) 374-9750

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rol9151@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1245764307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 YELLOWSTONE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131145",
            "telephone_number": "817-908-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132411",
            "telephone_number": "212-374-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-16",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "310613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.