Active NPI
Daniel Laroche, MD, PC
- Ophthalmology Physician
- Queens Village, NY
National Provider Identifier
1306990007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 202107
- Legal business name
- DANIEL LAROCHE, MD, PC
- Practice address
- 21543 Jamaica Ave
Queens Village, NY 11428-1736 - Phone
- (718) 217-0424
- Fax
- (718) 217-0459
- NPI assigned
- Jan 22, 2007
- Last updated
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Baez
- Title
- Coo
- Phone
- (516) 693-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 202107 | NY | Primary |
Addresses
Primary practice location
21543 Jamaica Ave
Queens Village, NY 11428-1736
Mailing address
1100 Shames Dr
Suite 100
Westbury, NY 11590-1765
Phone (516) 693-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01749444 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21543 Jamaica Ave
Queens Village, NY 11428
Phone (718) 217-0424
21541 Jamaica Ave
Queens Vlg, NY 11428
Phone (718) 217-0424
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Queens Village, NY
- NPI 1841225786
-
- Optometrist
- Queens Village, NY
- NPI 1881576296
-
- Optometrist
- Queens Village, NY
- NPI 1902581739
-
- Nutritionist
- New York, NY
- NPI 1629212170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1306990007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAMES DR",
"address_2": "SUITE 100",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901765",
"telephone_number": "516-693-0700",
"fax_number": "516-693-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21543 JAMAICA AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281736",
"telephone_number": "718-217-0424",
"fax_number": "718-217-0459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL LAROCHE, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "BAEZ",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "516-693-0700"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "202107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01749444",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.