Lynn Model, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

287034-1 Issued in NY

Practice address

984 50TH St FL 3
Brooklyn, NY 11219-3309

Phone

(718) 283-7384

NPI assigned

Dec 21, 2007

Last updated

Oct 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: lynnmodel@mai.allscriptsdirect.net

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.

• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  Medicare reassignment NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Pediatric Surgery FPP

  • Pediatric Surgery Physician
  • Brooklyn, NY
  • NPI 1548320534
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1598949885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 50TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193309",
            "telephone_number": "718-283-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 50TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193309",
            "telephone_number": "718-283-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODEL",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036134954",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME124351",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "287034-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mocombe Lucien D MD PC (Lucien D Mocombe MD PC)
• Lucien D Mocombe, MD
• Modaitalianashoesinc.
• Joanne Mode
• Model Manes Beauty Salon LLC (Model Manes Beauty Salon)
• Zachary Model, LMHC
• Modern Chemist LLC (The Modern Chemist)
• Modern Chiropractic Care, P.C.
• Modern Chiropractic PC
• Modern Dental PC

• Pediatric Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.