Individual provider Active NPI

Richard Eugene Loninger, D. P. M

  • Podiatrist
  • New York, NY
National Provider Identifier
1407911639
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
05483-1 Issued in NY
Practice address
121 E 60TH St Apt 3D
New York, NY 10022-1164
Phone
(212) 766-5200
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 05483-1 NY Primary

Addresses

Primary practice location

121 E 60TH St Apt 3D
New York, NY 10022-1164

Mailing address

121 E 60TH St Apt 3D
New York, NY 10022-1164
Phone (212) 766-5200

Other practice location 1

15-01 Pollitt Dr Ste 8B
Fair Lawn, NJ 07410-2769
Phone (212) 766-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20200921001217 NJ Practitioner - Podiatry 9830162460 Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05483-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Lawn ASC LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1407911639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-766-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221164",
            "telephone_number": "212-766-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15-01 Pollitt Dr Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074102769",
            "country_code": "US",
            "telephone_number": "212-766-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONINGER",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D. P. M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "05483-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.