Individual provider Active NPI

Allen A Logerquist, M.D.

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1609965409
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
104850 Issued in NY
Practice address
20 Beekman PL
Apt 2D
New York, NY 10022-8076
Phone
(212) 777-4028
Fax
(212) 777-4064
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 104850 NY Primary

Addresses

Primary practice location

20 Beekman PL
Apt 2D
New York, NY 10022-8076

Mailing address

20 Beekman PL
Apt 2D
New York, NY 10022-8076
Phone (212) 777-4028

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111206000090 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 6305011271 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1609965409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEEKMAN PL",
            "address_2": "APT 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100228076",
            "telephone_number": "212-777-4028",
            "fax_number": "212-777-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEEKMAN PL",
            "address_2": "APT 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100228076",
            "telephone_number": "212-777-4028",
            "fax_number": "212-777-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGERQUIST",
        "first_name": "ALLEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "104850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.