Individual provider Active NPI

Thomas Anthony Lallas, M.D.

  • Gynecologic Oncology Physician
  • New York, NY
National Provider Identifier
1356410914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
195464 Issued in NY
Practice address
907 5TH Ave
New York, NY 10021-4156
Phone
(212) 838-0886
Fax
(212) 327-0526
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 195464 NY Primary

Addresses

Primary practice location

907 5TH Ave
New York, NY 10021-4156

Mailing address

907 5TH Ave
New York, NY 10021-4156
Phone (212) 838-0886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 16, 2019 through Dec 16, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elj Obstetrics & Gynecology Group, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tlallas67329@northwell.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356410914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214156",
            "telephone_number": "212-838-0886",
            "fax_number": "212-327-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214156",
            "telephone_number": "212-838-0886",
            "fax_number": "212-327-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLAS",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "195464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.