David Mitchel Laurance, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NOO2899 Issued in NY

Practice address

2600 Netherland Ave
105
Bronx, NY 10463-4801

Phone

(718) 549-9100

Fax

(718) 549-9101

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376664367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "address_2": "105",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801",
            "telephone_number": "718-549-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "address_2": "105",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801",
            "telephone_number": "718-549-9100",
            "fax_number": "718-549-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURANCE",
        "first_name": "DAVID",
        "middle_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO2899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OO410375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samson Maher Laub, LCSW
• Erna Lauber, MS,CASAC
• Genelle Fiona Laud, RN
• Richard S Laudor, CPS
• Dania Lauer, LMSW
• Kevin Omar Laureano-Cruz, MD
• Cristina M. Laureano, SLP
• Diamaris Laureano, MSG
• Nicole M Laureano, MD
• Lauren Bradley

• Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Podiatrist 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.