Individual provider Active NPI

Jean Joseph Lochard, M.D

  • Obstetrics & Gynecology Physician
  • Corona, NY
National Provider Identifier
1649285412
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
152076 Issued in NY
Practice address
10211 Roosevelt Ave Ste 3
Corona, NY 11368-2331
Phone
(718) 898-1378
Fax
(718) 898-1505
NPI assigned
Jul 30, 2006
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 152076 NY Primary

Addresses

Primary practice location

10211 Roosevelt Ave Ste 3
Corona, NY 11368-2331

Mailing address

10211 Roosevelt Ave Ste 3
Corona, NY 11368-2331
Phone (718) 898-1378

Other identifiers 1

IdentifierTypeStateIssuer
00738770MedicaidNY

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
I20080505000800 NY Practitioner - Obstetrics/Gynecology 4981783776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10211 Roosevelt Ave
Corona, NY 11368-2331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jean Joseph Lochard MD PC CurrentSince Feb 2, 2010 Accepting new patients
CMC Housestaff Past Accepting new patients
South Ocean Care LLC Past Accepting new patients

Locations

10211 Roosevelt Ave
Corona, NY 11368
Phone (718) 898-5200

10211 Roosevelt Ave
Ste 3
Corona, NY 11368
Phone (718) 898-1378

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1649285412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 ROOSEVELT AVE STE 3",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-1378",
            "fax_number": "718-898-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 ROOSEVELT AVE STE 3",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-1378",
            "fax_number": "718-898-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHARD",
        "first_name": "JEAN",
        "middle_name": "JOSEPH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "152076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.