Active NPI
Lamia Kamel Botros, MD
- Psychiatry Physician
- Nyack, NY
National Provider Identifier
1366536682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 214224
- Practice address
- 18 Church St
Nyack, NY 10960-3108 - Phone
- (845) 358-1677
- Fax
- (845) 358-3640
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 214224 | NY | Primary |
Addresses
Primary practice location
18 Church St
Nyack, NY 10960-3108
Mailing address
18 Church St
Nyack, NY 10960-3108
Phone (845) 358-1677
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191031000653 | NY | Practitioner - Psychiatry | 2062460686 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214224 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Nyack Hospital | Current | Accepting new patients | |
| Laboratory Medicine Associates, LLP | Current | Accepting new patients | |
| Montefiore Nyack Hospital | Current | Accepting new patients | |
| Rockland Psychiatric Center | Past | Accepting new patients |
Locations
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
Interoperability endpoints
- rplkb01@hiemail.healtheconnections.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Nyack, NY
- NPI 1578654000
-
- Anatomic Pathology & Clinical Pathology Physician
- Nyack, NY
- NPI 1740251578
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1366536682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CHURCH ST",
"city": "NYACK",
"state": "NY",
"postal_code": "109603108",
"telephone_number": "845-358-1677",
"fax_number": "845-358-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CHURCH ST",
"city": "NYACK",
"state": "NY",
"postal_code": "109603108",
"telephone_number": "845-358-1677",
"fax_number": "845-358-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTROS",
"first_name": "LAMIA",
"middle_name": "KAMEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "214224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.