Active NPI
Lawrence A Fontana, MD
- Pulmonary Disease Physician
- Hyannis, MA
National Provider Identifier
1558415364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 163932
- Practice address
- 94 Main St
Hyannis, MA 02601-3146 - Phone
- (508) 771-9599
- Fax
- (508) 771-1986
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 163932 | NY | Primary |
Addresses
Primary practice location
94 Main St
Hyannis, MA 02601-3146
Mailing address
94 Main St
Hyannis, MA 02601-3146
Phone (508) 771-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01023716 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163932 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Fontana, M.D., P.C. | Pulmonary Disease | Past | Accepting new patients |
| Mashpee Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Orleans Mental Health Center
- Community/Behavioral Health Agency
- Mashpee, MA
- NPI 1790844843
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1710002183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1558415364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013146",
"telephone_number": "508-771-9599",
"fax_number": "508-771-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013146",
"telephone_number": "508-771-9599",
"fax_number": "508-771-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "LAWRENCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "163932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01023716",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.