Individual provider Active NPI

David Lotfi, M.D.

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1629175385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
176956 Issued in NY
Practice address
120 Bethpage Rd
Suite 204
Hicksville, NY 11801-1515
Phone
(516) 935-5313
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 176956 NY Primary

Addresses

Primary practice location

120 Bethpage Rd
Suite 204
Hicksville, NY 11801-1515

Mailing address

120 Bethpage Rd
Suite 204
Hicksville, NY 11801-1515
Phone (516) 935-5313

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
I20070906000492 NY Practitioner - Internal Medicine 4880787829

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Health PLLC CurrentSince Mar 4, 2017 Accepting new patients
Long Island Hyperbaric - Wound Care Medical Associates PLLC PastSince Aug 1, 2007 Accepting new patients
White Oaks Rehabilitation and Nursing Center Past Accepting new patients

Locations

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

1070 Old Country Rd
Plainview, NY 11803
Phone (516) 364-8600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629175385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "address_2": "SUITE 204",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-935-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "address_2": "SUITE 204",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-935-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTFI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.