NPIMap

Organization Active NPI

Lovelace Medical, PC

  • General Practice Physician
  • Yonkers, NY
National Provider Identifier
1366621401
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
226835 Issued in NY
Legal business name
LOVELACE MEDICAL, PC
Practice address
944 N Broadway
Suite 102
Yonkers, NY 10701-1304
Phone
(901) 726-4110
NPI assigned
Oct 25, 2007
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Jerry Lee Lovelace, MDNPI 1568571404
Title
Physician
Phone
(901) 726-4110

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
General Practice Physician 208D00000X 226835 NY Primary

Addresses

Primary practice location

944 N Broadway
Suite 102
Yonkers, NY 10701-1304

Mailing address

1488 Madison Ave
Memphis, TN 38104-2447
Phone (901) 726-4110

National Provider Directory

National Provider Directory

Locations

14 Manor House Sq
Yonkers, NY 10701
Phone (917) 684-7418

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1366621401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042447",
            "telephone_number": "901-726-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "address_2": "SUITE 102",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011304",
            "telephone_number": "901-726-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-726-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "226835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.