Active NPI
Patricia Maria Gonzaga De Lima, IBCLC
- Lactation Consultant (Non-RN)
- Rego Park, NY
National Provider Identifier
1316466618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 11210477
- Practice address
- 6135 98TH St Apt 4H
Rego Park, NY 11374-1479 - Phone
- (347) 731-0130
- NPI assigned
- Sep 18, 2017
- Last updated
- Sep 18, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 11210477 | NY | Primary |
Addresses
Primary practice location
6135 98TH St Apt 4H
Rego Park, NY 11374-1479
Mailing address
6135 98TH St Apt 4H
Rego Park, NY 11374-1479
Phone (347) 731-0130
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11210477 | NY | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Natural Way LLC | Lactation Consultant, Non-RN | Past | Accepting new patients |
| MCH Ventures, Inc. | Lactation Consultant, Non-RN | Past | Accepting new patients |
| Lactation Consultants of America | Lactation Consultant, Non-RN | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Lactation Consultant (Non-RN)
- Maumee, OH
- NPI 1285528372
Lactation Consultant, Non-RN
-
- Lactation Consultant (Non-RN)
- Big Bear City, CA
- NPI 1740929694
Lactation Consultant, Non-RN
-
dba Mahmee
- Lactation Consultant (Registered Nurse)
- Los Angeles, CA
- NPI 1700395647
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1316466618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 98TH ST APT 4H",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741479",
"telephone_number": "347-731-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 98TH ST APT 4H",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741479",
"telephone_number": "347-731-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LIMA",
"first_name": "PATRICIA MARIA",
"middle_name": "GONZAGA",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "11210477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.