Active NPI
On Lam, O.D.
- Specialist
- Jackson Heights, NY
National Provider Identifier
1598819351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- T006464
- Practice address
- 7517 37TH Ave
Jackson Heights, NY 11372-6537 - Phone
- (718) 779-1222
- Fax
- (718) 554-7974
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | T006464 | NY | Primary |
Addresses
Primary practice location
7517 37TH Ave
Jackson Heights, NY 11372-6537
Mailing address
7517 37TH Ave
Jackson Heights, NY 11372-6537
Phone (718) 779-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02277925 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T006464 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldberg Partners Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Ozone Park, NY
- NPI 1144705237
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": "1254700800000",
"number": "1598819351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 37TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726537",
"telephone_number": "718-779-1222",
"fax_number": "718-554-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7517 37TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726537",
"telephone_number": "718-779-1222",
"fax_number": "718-554-7974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "ON",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "T006464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02277925",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.