Individual provider Active NPI

Herman Preston Lam, M.D.

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1285923110
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
287350 Issued in NY
Practice address
196 Canal St FL 4
New York, NY 10013-4562
Phone
(212) 433-3223
Fax
(212) 381-8033
NPI assigned
Mar 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A140095 CA
Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YS0123X 287350 NY
Otolaryngology Physician 207Y00000X 287350 NY Primary

Addresses

Primary practice location

196 Canal St FL 4
New York, NY 10013-4562

Mailing address

196 Canal St FL 4
New York, NY 10013-4562
Phone (212) 433-3223

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
I20170803003627 NY Practitioner - Otolaryngology 9638471279 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

196 Canal St
FL 4
New York, NY 10013-4562
Phone (212) 433-3223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140095CAMDFacial Plastic Surgery Physician
287350NYMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan ENT and Facial Plastic Surgery, P.C. Single Specialty CurrentSince Apr 8, 2019 Accepting new patients
Chinatown Hearing Center Inc. Single Specialty CurrentSince Apr 8, 2019 Accepting new patients
Oriental K. Inc. Single Specialty Past Accepting new patients

Locations

2041 86th St
Fl 2
Brooklyn, NY 11214
Phone (917) 810-4888

196 Canal St
Fl 4
New York, NY 10013
Phone (212) 433-3223

Networks

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

Organizations & group practices 3

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1285923110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CANAL ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-433-3223",
            "fax_number": "212-381-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CANAL ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-433-3223",
            "fax_number": "212-381-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "HERMAN",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A140095",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "287350",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "287350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.