Active NPI
Lore Lisa Garten, M.D., P.H.D
- Addiction Medicine (Internal Medicine) Physician
- Kingston, NY
National Provider Identifier
1376507202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 224224
- Practice address
- 10 Barbarossa LN
Kingston, NY 12401-1220 - Phone
- (845) 943-6091
- NPI assigned
- Apr 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 224224 | NY | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 224224 | NY | Primary |
Addresses
Primary practice location
10 Barbarossa LN
Kingston, NY 12401-1220
Mailing address
19 Bradhurst Ave
Hawthorne, NY 10532-2140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02244324 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1376507202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BARBAROSSA LN",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124011220",
"telephone_number": "845-943-6091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTEN",
"first_name": "LORE",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "M.D., P.H.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "224224",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "224224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02244324",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.