Organization Active NPI

Lawrence R. Sirota, DO, PC

  • Plastic Surgery Physician
  • Albertson, NY
National Provider Identifier
1427389758
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
203715 Issued in NY
Legal business name
LAWRENCE R. SIROTA, DO, PC
Practice address
936 Willis Avenue
Albertson, NY 11507
Phone
(516) 791-3150
Fax
(516) 791-3913
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Lawrence Robert Sirota, DONPI 1215021340
Title
DO/President
Phone
(516) 791-3150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 203715 NY Primary

Addresses

Primary practice location

936 Willis Avenue
Albertson, NY 11507

Mailing address

936 Willis Avenue
Albertson, NY 11507
Phone (516) 791-3150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100415000040 NY Part B Supplier - Clinic/Group Practice 9436286978 Receives reassigned benefits from 1 practitioner
Practice locations: Albertson, NY

National Provider Directory

National Provider Directory

Locations

936 Willis Ave
Albertson, NY 11507
Phone (516) 791-3150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1427389758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 WILLIS AVENUE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "11507",
            "telephone_number": "516-791-3150",
            "fax_number": "516-791-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 WILLIS AVENUE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "11507",
            "telephone_number": "516-791-3150",
            "fax_number": "516-791-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R. SIROTA, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SIROTA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DO/PRESIDENT",
        "authorized_official_telephone_number": "516-791-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "203715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.