Active NPI
Robert S. Lesser MD PC
- Rheumatology Physician
- Brooklyn, NY
National Provider Identifier
1376549162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 169385
- Legal business name
- ROBERT S. LESSER MD PC
- Practice address
- 4015 Avenue U
Brooklyn, NY 11234-5117 - Phone
- (718) 252-5151
- NPI assigned
- Jun 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert S Lesser, MD
- Title
- President
- Phone
- (715) 252-5151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 169385 | NY | Primary |
Addresses
Primary practice location
4015 Avenue U
Brooklyn, NY 11234-5117
Mailing address
4015 Avenue U
Brooklyn, NY 11234-5117
Phone (718) 252-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01078239 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1376549162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345117",
"telephone_number": "718-252-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345117",
"telephone_number": "718-252-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT S. LESSER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-26",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "LESSER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-252-5151",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "169385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01078239",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.