Organization Active NPI

Robert B Lanter DO PC

  • Pain Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1366413031
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
1815561 Issued in NY
Legal business name
ROBERT B LANTER DO PC
Practice address
70 Maple Ave
Rockville Centre, NY 11570-4225
Phone
(516) 766-5495
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Robert B Lanter, DONPI 1528039294
Title
President
Phone
(516) 766-5495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 1815561 NY Primary

Addresses

Primary practice location

70 Maple Ave
Rockville Centre, NY 11570-4225

Mailing address

70 Maple Ave
Rockville Centre, NY 11570-4225
Phone (516) 766-5495

Other identifiers 1

IdentifierTypeStateIssuer
01609970MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000381 NY Part B Supplier - Clinic/Group Practice 5496729014 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, NY

National Provider Directory

National Provider Directory

Locations

3051 Long Beach Rd
Ste 3
Oceanside, NY 11572
Phone (516) 766-4875

55 Maple Ave
Ste 100
Rockville Centre, NY 11570

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1366413031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704225",
            "telephone_number": "516-766-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704225",
            "telephone_number": "516-766-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B LANTER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "LANTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-766-5495",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "1815561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01609970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.