Individual provider Active NPI

Anupama Lodha, MD

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1669500898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234666-1 Issued in NY
Practice address
3304 93Rd St
Suite 1W
Jackson Heights, NY 11372-1941
Phone
(718) 335-4747
Fax
(718) 476-2626
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 234666-1 NY Primary

Addresses

Primary practice location

3304 93Rd St
Suite 1W
Jackson Heights, NY 11372-1941

Mailing address

3304 93Rd St
Suite 1W
Jackson Heights, NY 11372-1941
Phone (718) 335-4747

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
I20050715000128 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9830125376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanjay Lodha Physician PCGroup PAC ID 7214276906, 2 clinicians

Practice addresses (Care Compare)

4572 Parsons Blvd
Flushing, NY 11355-2221
Phone (718) 886-4848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234666NYMDLicensed Practical Nurse
234666-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Lodha Physician PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 21, 2023 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 21, 2023 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Digestive Disease Care, PC Past Accepting new patients

Locations

4572 Parsons Blvd
Flushing, NY 11355
Phone (718) 886-4848

875 Jerusalem Ave
Uniondale, NY 11553
Phone (516) 572-1400

Organizations & group practices 5

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669500898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 93RD ST",
            "address_2": "SUITE 1W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721941",
            "telephone_number": "718-335-4747",
            "fax_number": "718-476-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 93RD ST",
            "address_2": "SUITE 1W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721941",
            "telephone_number": "718-335-4747",
            "fax_number": "718-476-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODHA",
        "first_name": "ANUPAMA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.