Frank Lancellotti, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

160667 Issued in NY

Practice address

164 Canal St
Ellenville, NY 12428-0335

Phone

(845) 647-1122

Fax

(845) 647-6654

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366522807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "address_2": "164 CANAL ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124280335",
            "telephone_number": "845-647-1122",
            "fax_number": "845-647-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CANAL ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124280335",
            "telephone_number": "845-647-1122",
            "fax_number": "845-647-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCELLOTTI",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "160667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01136736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Komsic, LMSW
• Stacie Lynn Krom, LPN
• Gay Kuehnel-Hisatake, LCSWR
• Smita Sinha Kumar, MD
• Laura Kyvik
• Christina Langan-Heim, LCSW
• Sang Eun Lee, MSPT
• Lynn Leibowitz-Whitehead, LMSW
• Alondra Lerebours-Onate, MD
• Donna Lewis

• Gastroenterology Physician in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.