Individual provider Active NPI

Michael Lam, DPT

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Long Island City, NY
National Provider Identifier
1578235677
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
047621-01 Issued in NY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220401000949 NY Practitioner - Physical Therapist in Private Practice 7517353436 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047621-01NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Luna Care Physical Therapy PLLC CurrentSince Jul 8, 2024 Accepting new patients
Energize Physical Therapy PLLC CurrentSince Nov 29, 2021 Accepting new patients
Jimmy He Medical PC Pain Medicine CurrentSince Feb 15, 2023 Accepting new patients
PT and OT for Senior Rehab at Home PLLC CurrentSince Jun 1, 2024 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.

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.

Verify at the official NPI Registry.