Individual provider Active NPI

Lawrence M Wells, MD

  • Dermatology Physician
  • Hollis Hills, NY
National Provider Identifier
1316920846
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
106532 Issued in NY
Practice address
20917 Union Turnpike
Hollis Hills, NY 11364
Phone
(718) 464-2626
Fax
(718) 464-2641
NPI assigned
Nov 29, 2005
Last updated
Jul 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 106532 NY Primary

Addresses

Primary practice location

20917 Union Turnpike
Hollis Hills, NY 11364

Mailing address

20917 Union Tpke
Hollis Hills, NY 11364-3237
Phone (718) 464-2626

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
I20080811000069 NY Practitioner - Dermatology 9133293269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 1969
Medicare assignment
May accept Medicare assignment
Group practices
Neil L. Bellet M.D. and Lawrence M. Wells M.D.,LLPGroup PAC ID 6507930633, 2 clinicians

Practice addresses (Care Compare)

1735 N Ocean Ave
Suite C
Medford, NY 11763-2671
Phone (631) 475-5550

209 -17 Union Turnpike
Hollis Hills, NY 11364-3237

20917 Union Tpke
Hollis Hills, NY 11364-3237
Phone (718) 464-2626

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1245
Removal or shaving of skin growth122
Skin biopsy1297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106532NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil L. Bellet M.D. and Lawrence M. Wells M.D.,LLP Dermatology CurrentSince Jan 1, 2008 Accepting new patients
Lawrence M. Wells, M.D., P.C. Dermatology CurrentSince Aug 11, 2008 Accepting new patients

Locations

1735 N Ocean Ave
Ste C
Medford, NY 11763
Phone (516) 475-5550

20917 Union Tpke
Oakland Gardens, NY 11364
Phone (718) 464-2626

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1316920846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20917 UNION TPKE",
            "city": "HOLLIS HILLS",
            "state": "NY",
            "postal_code": "113643237",
            "telephone_number": "718-464-2626",
            "fax_number": "718-464-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20917 UNION TURNPIKE",
            "city": "HOLLIS HILLS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "718-464-2626",
            "fax_number": "718-464-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "106532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis Hills, NY

Sources for this page

Verify at the official NPI Registry.