Organization Active NPI

Thomas Lyo Medical PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1265471684
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THOMAS LYO MEDICAL PC
Practice address
13987 35TH Ave Apt L1
Flushing, NY 11354-3551
Phone
(718) 358-7788
Fax
(718) 502-8436
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Thomas Z Lyo, MDNPI 1275595787
Title
President
Phone
(718) 358-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

13987 35TH Ave Apt L1
Flushing, NY 11354-3551

Mailing address

13987 35TH Ave Apt L1
Flushing, NY 11354-3551
Phone (718) 358-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041130000366 NY Part B Supplier - Clinic/Group Practice 3870558059 Receives reassigned benefits from 3 practitioners
Practice locations: Flushing, NY; New Rochelle, NY; Yonkers, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

4355 Furman Ave
Bronx, NY 10466
Phone (718) 324-2292

237 N Broadway
Ste 1F
Yonkers, NY 10701
Phone (914) 968-6801

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1265471684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13987 35TH AVE APT L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543551",
            "telephone_number": "718-358-7788",
            "fax_number": "718-502-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13987 35TH AVE APT L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543551",
            "telephone_number": "718-358-7788",
            "fax_number": "718-502-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS LYO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "LYO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-358-7788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.