Active NPI
Robert Lorenz Jr., MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1245764307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 310613
- 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
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 |
|---|---|---|---|---|
| Dermatology Physician | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 -32 Ericsson Place
First Floor
New York, NY 10013-2411
Phone (212) 374-9750
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 157 |
| Skin biopsy | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Geyer MD PC | Single Specialty | Current | Accepting new patients |
| Paru Chaudhari MD PLLC | Single Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.