Individual provider Active NPI

Robert B Lanter, DO

  • Pain Medicine Physician
  • East Rockaway, NY
National Provider Identifier
1528039294
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
181556 Issued in NY
Practice address
131 Main St
Ste 4
East Rockaway, NY 11518
Phone
(516) 766-5495
Fax
(516) 766-3240
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 181556 NY Primary

Addresses

Primary practice location

131 Main St
Ste 4
East Rockaway, NY 11518

Mailing address

131 Main St
Ste 4
East Rockaway, NY 11518
Phone (516) 766-5495

Other identifiers 1

IdentifierTypeStateIssuer
01609970MedicaidNY

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
I20041008001117 NY Practitioner - Physical Medicine and Rehabilitation 0749254373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacquelyn English DO PLLCGroup PAC ID 9739422387, 2 clinicians

Practice addresses (Care Compare)

3051 Long Beach Rd
Suite 3
Oceanside, NY 11572-3240
Phone (516) 766-5495

801 E Park Ave
Long Beach, NY 11561-2709
Phone (516) 690-9800

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacquelyn English DO PLLC CurrentSince Dec 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
South Ocean Care LLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: robert.lanter.1@18838.direct.athenahealth.com
  • Direct secure messaging: rlanter3481107@nychhc.direct-ci.com

Organizations & group practices 4

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.

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1528039294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "STE 4",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "11518",
            "telephone_number": "516-766-5495",
            "fax_number": "516-766-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "STE 4",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "11518",
            "telephone_number": "516-766-5495",
            "fax_number": "516-766-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTER",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "181556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01609970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

Verify at the official NPI Registry.