Active NPI
Gerald Loughlin, MD
- Pediatric Pulmonology Physician
- New York, NY
National Provider Identifier
1528158797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 226650
- Practice address
- 428 E 72ND St Ofc 100
New York, NY 10021-4635 - Phone
- (212) 746-3576
- Fax
- (212) 746-8663
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 226650 | NY | |
| Pediatric Pulmonology Physician | 2080P0214X | 226650 | NY | Primary |
Addresses
Primary practice location
428 E 72ND St Ofc 100
New York, NY 10021-4635
Mailing address
428 E 72ND St Ofc 100
New York, NY 10021-4635
Phone (212) 746-0373
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226650 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Pediatrics | Current | Accepting new patients |
| Weill Medical College of Cornell | Pediatrics | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients |
Locations
525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558
428 E 72nd St
Ofc 100
New York, NY 10021
Phone (212) 746-3576
Interoperability endpoints
- gml2001@direct.nyp.org
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Pediatrics Physician
- New York, NY
- NPI 1629018205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1528158797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 E 72ND ST OFC 100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214635",
"telephone_number": "212-746-0373",
"fax_number": "212-746-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E 72ND ST OFC 100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214635",
"telephone_number": "212-746-3576",
"fax_number": "212-746-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHLIN",
"first_name": "GERALD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "226650",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "226650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.