Organization Active NPI

LMC Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346256104
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27667 Issued in NY
Legal business name
LMC PHYSICIAN SERVICES, PC
Practice address
150 55TH St
Brooklyn, NY 11220-2559
Phone
(718) 630-8445
Fax
(718) 630-8515
NPI assigned
Aug 1, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Mr. Gary Dellacerra, V.P.
Title
VP Managed Care & Revenue Complianc
Phone
(718) 630-7103

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 27667 NY
Allergy & Immunology Physician 207K00000X 27667 NY
Dermatology Physician 207N00000X 27667 NY
Internal Medicine Physician 207R00000X 27667 NY Primary
Gastroenterology Physician 207RG0100X 27667 NY
Hematology & Oncology Physician 207RH0003X 27667 NY
Pulmonary Disease Physician 207RP1001X 27667 NY
Orthopaedic Surgery Physician 207X00000X 27667 NY
Otolaryngology Physician 207Y00000X 27667 NY
Psychiatry Physician 2084P0800X 27667 NY
Surgery Physician 208600000X 27667 NY
Urology Physician 208800000X 27667 NY
Colon & Rectal Surgery Physician 208C00000X 27667 NY
Nurse Practitioner 363L00000X 27667 NY
Obesity Medicine (Internal Medicine) Physician 207RB0002X 27667 NY

Addresses

Primary practice location

150 55TH St
Brooklyn, NY 11220-2559

Mailing address

5800 3Rd Ave
Lutheran Medical Center-Managed Care Department
Brooklyn, NY 11220-3702
Phone (718) 630-7477

Other identifiers 1

IdentifierTypeStateIssuer
01523151MedicaidNY

National Provider Directory

National Provider Directory

Locations

117 70th St
Brooklyn, NY 11209
Phone (718) 836-8800

3131 Kings Hwy
Ste B5
Brooklyn, NY 11234
Phone (718) 258-9200

355 Ovington Ave
Ste 103
Brooklyn, NY 11209
Phone (718) 745-5777

460 13th St
Brooklyn, NY 11215
Phone (718) 369-3555

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

7517 6th Ave
Brooklyn, NY 11209
Phone (718) 630-5777

8012 3rd Ave
Brooklyn, NY 11209
Phone (718) 491-5454

9036 7th Ave
Brooklyn, NY 11228
Phone (718) 283-2200

39 E 20th St
Ofc 1
New York, NY 10003
Phone (212) 473-9155

Practitioners & affiliated clinicians

Practitioners 150

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.

View all 150

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1346256104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 3RD AVE",
            "address_2": "LUTHERAN MEDICAL CENTER-MANAGED CARE DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203702",
            "telephone_number": "718-630-7477",
            "fax_number": "718-630-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-8445",
            "fax_number": "718-630-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMC PHYSICIAN SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "DELLACERRA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP MANAGED CARE & REVENUE COMPLIANC",
        "authorized_official_telephone_number": "718-630-7103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "V.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "27667",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "27667",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NY",
            "license": "27667",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.