NPIMap

Organization Active NPI

The Lake Medical Services, P.C.

  • Medical Specialty Clinic/Center
  • Huntington, NY
National Provider Identifier
1538575857
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
250020 Issued in NY
Legal business name
THE LAKE MEDICAL SERVICES, P.C.
Practice address
171 Lake Rd
Suite 1
Huntington, NY 11743-3947
Phone
(914) 509-5836
Fax
(914) 357-2489
NPI assigned
Jul 8, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. Freddy Desormeaux, M.D.
Title
M.D.
Phone
(914) 509-5836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 250020 NY Primary

Addresses

Primary practice location

171 Lake Rd
Suite 1
Huntington, NY 11743-3947

Mailing address

171 Lake Rd
Suite 1
Huntington, NY 11743-3947
Phone (914) 509-5836

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1538575857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LAKE RD",
            "address_2": "SUITE 1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433947",
            "telephone_number": "914-509-5836",
            "fax_number": "914-357-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAKE RD",
            "address_2": "SUITE 1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433947",
            "telephone_number": "914-509-5836",
            "fax_number": "914-357-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKE MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "DESORMEAUX",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "914-509-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "250020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.