Active NPI
Fred A Lado, MD
- Clinical Neurophysiology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 196511
- Practice address
- 611 Northern Blvd Ste 150
Great Neck, NY 11021-5207 - Phone
- (516) 325-7000
- Fax
- (516) 325-7001
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 196511 | NY | |
| Clinical Neurophysiology Physician | 2084N0600X | 196511 | NY | Primary |
Addresses
Primary practice location
611 Northern Blvd Ste 150
Great Neck, NY 11021-5207
Mailing address
215 W 92ND St
Apt 7J
New York, NY 10025-7444
Phone (917) 608-1881
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2530734 | Other | NY | US HEALTH - AETNA PIN |
| P2852741 | Other | NY | OXFORD PIN |
| 13-1740114 | Other | NY | MMC TAX ID |
| 30200 | Other | NY | MONTE CMO |
| 439N91 | Other | NY | BLUE SHIELD PIN |
| N65876 | Other | NY | HEALTHNET-PHS PIN |
| 0099245 | Other | NY | CIGNA PIN |
| 196511 | Other | NY | NYS LICENSE |
| P2456425 | Other | NY | OXFORD PIN |
| 02276882 | Medicaid | NY | |
| 10000021415 | Other | NY | AFFINITY HEALTH PIN |
| 196511-A14 | Other | NY | HEALTH FIRST PIN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- New York University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (631) 675-4550
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
17660 Union Tpke
Fresh Meadows, NY 11366-1526
Phone (718) 820-9015
270 E Main St
Bay Shore, NY 11706-8420
Phone (631) 591-7474
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
301 E Main St
Bay Shore, NY 11706-8408
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
370 E Main St
Suite 1
Bay Shore, NY 11706-8415
Phone (631) 666-4767
611 Northern Blvd
Great Neck, NY 11021-5207
Phone (718) 683-3766
611 Northern Blvd
Suite 200
Great Neck, NY 11021-5201
Phone (516) 723-2663
611 Northern Boulevard
Suite 250
Great Neck, NY 11021-5207
Phone (516) 233-3456
865 Northern Boulevard
Suite 302
Great Neck, NY 11021-5207
Phone (516) 570-4400
888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000
900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 719-5024
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- North Shore University Hospital
- Long Island Jewish Medical Center
- NS/Lij HS Huntington Hospital
- Northwell Hospital Glen Cove
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196511 | NY | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore University Hospital | Past | Accepting new patients | |
| Montefiore North Ambulatory Care Center Inc | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
611 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 325-7000
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- flado67013@northwell.direct-ci.com
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Community Health Clinic/Center
- Bronx, NY
- NPI 1144228099
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346325644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W 92ND ST",
"address_2": "APT 7J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257444",
"telephone_number": "917-608-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 NORTHERN BLVD STE 150",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215207",
"telephone_number": "516-325-7000",
"fax_number": "516-325-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADO",
"first_name": "FRED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2023-03-07",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "196511",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NY",
"license": "196511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH - AETNA PIN",
"identifier": "2530734",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PIN",
"identifier": "P2852741",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMC TAX ID",
"identifier": "13-1740114",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTE CMO",
"identifier": "30200",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN",
"identifier": "439N91",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET-PHS PIN",
"identifier": "N65876",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "0099245",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "196511",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PIN",
"identifier": "P2456425",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02276882",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH PIN",
"identifier": "10000021415",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST PIN",
"identifier": "196511-A14",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.