Individual provider Active NPI

John A Lanzone, M.D.

  • Specialist
  • Mineola, NY
National Provider Identifier
1407851082
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
145773 Issued in NY
Practice address
173 Mineola Blvd
Ste 406
Mineola, NY 11501-2555
Phone
(516) 877-1414
Fax
(516) 877-7120
NPI assigned
Jun 20, 2005
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 145773 NY Primary

Addresses

Primary practice location

173 Mineola Blvd
Ste 406
Mineola, NY 11501-2555

Mailing address

173 Mineola Blvd
Ste 406
Mineola, NY 11501-2555
Phone (516) 877-1414

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000216 NY Practitioner - Cardiovascular Disease (Cardiology) 9830103647 Reassigns benefits to 2 organizations
Practice locations: Mineola, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ap New York Comprehensive Medical Care PCGroup PAC ID 5991086068, 5 clinicians

Practice addresses (Care Compare)

1690 Washington Ave
Bohemia, NY 11716-1425
Phone (631) 656-9040

173 Mineola Blvd
Suite 406
Mineola, NY 11501-2555
Phone (516) 877-1414

732 Smithtown Byp
Suite 200
Smithtown, NY 11787-5020
Phone (631) 656-9040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.1 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
93.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 22, 2019 Accepting new patients
New York University CurrentSince Jul 22, 2019 Accepting new patients
John a. Lanzone, M.D., P.C CurrentSince Jan 1, 2020 Accepting new patients
A.P. New York Comprehensive Medical Care PC CurrentSince Jan 14, 2026 Accepting new patients
Pilip Medical Care Past Accepting new patients

Locations

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 500
Mineola, NY 11501
Phone (516) 663-2765

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

173 Mineola Blvd
Ste 406
Mineola, NY 11501
Phone (516) 877-1414

212 Jericho Tpke
Mineola, NY 11501
Phone (516) 663-2599

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

732 Smithtown Byp
Ste 200
Smithtown, NY 11787
Phone (347) 451-0018

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1407851082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "STE 406",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012555",
            "telephone_number": "516-877-1414",
            "fax_number": "516-877-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "STE 406",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012555",
            "telephone_number": "516-877-1414",
            "fax_number": "516-877-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZONE",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "145773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.