Active NPI
Michael Lam, DPT
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 047621-01
- Practice address
- 3310 Queens Blvd Ste 301
Long Island City, NY 11101-2302 - Phone
- (800) 905-0513
- NPI assigned
- Sep 28, 2021
- Last updated
- Jul 17, 2024
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 047621-01 | NY | Primary |
Addresses
Primary practice location
3310 Queens Blvd Ste 301
Long Island City, NY 11101-2302
Mailing address
5112 Hillyer St
Elmhurst, NY 11373-4971
Phone (718) 213-5662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047621-01 | NY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Luna Care Physical Therapy PLLC | Current | Accepting new patients | |
| Energize Physical Therapy PLLC | Current | Accepting new patients | |
| Jimmy He Medical PC | Pain Medicine | Current | Accepting new patients |
| PT and OT for Senior Rehab at Home PLLC | Current | Accepting new patients |
Locations
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
5205 Van Loon St
Elmhurst, NY 11373
Phone (347) 220-8195
8008 45th Ave
Ofc
Elmhurst, NY 11373
13630 Maple Ave
Ste 2I
Flushing, NY 11355
Phone (347) 220-8195
3712 Prince St
Ste 7D
Flushing, NY 11354
Phone (718) 229-6638
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
-
- Physical Therapy Clinic/Center
- Elmhurst, NY
- NPI 1427416668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1578235677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 HILLYER ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734971",
"telephone_number": "718-213-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 QUEENS BLVD STE 301",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012302",
"telephone_number": "800-905-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-28",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "047621-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.