Active NPI
Maureen Lam, DDS
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1467505255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39325
- Practice address
- 13347 Sanford Ave Ste C1B
Flushing, NY 11355-5816 - Phone
- (718) 888-8828
- Fax
- (718) 888-8827
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39325 | NY | Primary |
Addresses
Primary practice location
13347 Sanford Ave Ste C1B
Flushing, NY 11355-5816
Mailing address
13347 Sanford Ave Ste C1B
Flushing, NY 11355-5816
Phone (718) 888-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02337635 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39325 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467505255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13347 SANFORD AVE STE C1B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555816",
"telephone_number": "718-888-8828",
"fax_number": "718-888-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13347 SANFORD AVE STE C1B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555816",
"telephone_number": "718-888-8828",
"fax_number": "718-888-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "39325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02337635",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.