Individual provider Active NPI

Lori Beth Keslowitz

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1528483948
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
896309 Issued in NY
Practice address
5902 14TH Ave
Brooklyn, NY 11219-5066
Phone
(718) 686-5900
Fax
(718) 853-0213
NPI assigned
Feb 21, 2014
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 896309 NY Primary

Addresses

Primary practice location

5902 14TH Ave
Brooklyn, NY 11219-5066

Mailing address

669 Flanders Drive
Valley Stream, NY 11581
Phone (516) 729-1055

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

LicenseStateTypeSpecialty
896309NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1528483948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 FLANDERS DRIVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-729-1055",
            "fax_number": "516-791-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195066",
            "telephone_number": "718-686-5900",
            "fax_number": "718-853-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESLOWITZ",
        "first_name": "LORI",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "896309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.