Individual provider Active NPI

Lawrence Joseph Sobocinski, MD

  • Colon & Rectal Surgery Physician
  • Forest Hills, NY
National Provider Identifier
1255321899
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
097686-1 Issued in NY
Practice address
11011 72ND Ave
Apt 1a
Forest Hills, NY 11375-4946
Phone
(718) 544-6900
Fax
(718) 544-6901
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 097686-1 NY Primary

Addresses

Primary practice location

11011 72ND Ave
Apt 1a
Forest Hills, NY 11375-4946

Mailing address

11011 72ND Ave
Apt 1a
Forest Hills, NY 11375-4946
Phone (718) 544-6900

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

LicenseStateTypeSpecialty
097686NYMDSocial Worker
097686-1NYMDColon & Rectal Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1255321899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 72ND AVE",
            "address_2": "APT 1A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754946",
            "telephone_number": "718-544-6900",
            "fax_number": "718-544-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 72ND AVE",
            "address_2": "APT 1A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754946",
            "telephone_number": "718-544-6900",
            "fax_number": "718-544-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOCINSKI",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "097686-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.