Active NPI
Johanny Lama
- Specialist
- Astoria, NY
National Provider Identifier
1609535806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2665832
- Practice address
- 2759 Crescent St BSMT
Astoria, NY 11102-4292 - Phone
- (718) 626-0111
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2665832 | NY | |
| Specialist | 174400000X | 2665832 | NY | Primary |
Addresses
Primary practice location
2759 Crescent St BSMT
Astoria, NY 11102-4292
Mailing address
2759 Crescent St BSMT
Astoria, NY 11102-4292
Phone (718) 626-0111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Work |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2665832 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1609535806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2759 CRESCENT ST BSMT",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024292",
"telephone_number": "718-626-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2759 CRESCENT ST BSMT",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024292",
"telephone_number": "718-626-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMA",
"first_name": "JOHANNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "2665832",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2665832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Work",
"affiliation": "N",
"address_1": "2759 Crescent St Bsmt",
"city": "Astoria",
"state": "NY",
"country_code": "US",
"postal_code": "111024292",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.