Active NPI
Nelly T Loo, MD
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
National Provider Identifier
1548229818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 174767
- Practice address
- 198 Canal Street
Suite 503
New York, NY 10013 - Phone
- (212) 267-7200
- Fax
- (212) 962-4402
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 174767 | NY | Primary |
Addresses
Primary practice location
198 Canal Street
Suite 503
New York, NY 10013
Mailing address
198 Canal Street
Suite 503
New York, NY 10013
Phone (212) 267-7200
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1492032 | Other | PHCS | |
| 043675 | Other | UNITED HEALTHCAREMEDICARE | |
| 273507 | Other | WELLCARE ENDO SPECIALIST | |
| 0M463P | Other | HIP | |
| 133685785 | Other | HEALTH NET | |
| 133685785 | Other | MULTIPLAN | |
| 1537194 | Other | UNITED HEALTHCARE | |
| NP560 | Other | OXFORD | |
| 2502050 | Other | GHI | |
| 133685785 | Other | HORIZON HEALTH CARE | |
| 246015812 | Other | GHI UNITE | |
| 273472 | Other | WELLCARE | |
| 13G681 | Other | BLUE CROSS BLUE SHIELD | |
| 7158021 | Other | CIGNA PPO | |
| M4071 | Other | VYTRA | |
| 01500747 | Medicaid | NY | |
| 133685785 | Other | 1199 BENEFIT PLAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1548229818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 CANAL STREET",
"address_2": "SUITE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-267-7200",
"fax_number": "212-962-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 CANAL STREET",
"address_2": "SUITE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-267-7200",
"fax_number": "212-962-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOO",
"first_name": "NELLY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "174767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "1492032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCAREMEDICARE",
"identifier": "043675",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE ENDO SPECIALIST",
"identifier": "273507",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "0M463P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "133685785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "133685785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1537194",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NP560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2502050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTH CARE",
"identifier": "133685785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI UNITE",
"identifier": "246015812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "273472",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "13G681",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "7158021",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "M4071",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01500747",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 BENEFIT PLAN",
"identifier": "133685785",
"state": null
}
],
"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 Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.