Individual provider Active NPI

Michael Lorman

  • Dentist
  • New York, NY
National Provider Identifier
1669644365
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046278-1 Issued in NY
Practice address
383 Madison Ave
Level C1
New York, NY 10179-0001
Phone
(212) 272-1711
Fax
(212) 272-5202
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046278-1 NY Primary

Addresses

Primary practice location

383 Madison Ave
Level C1
New York, NY 10179-0001

Mailing address

245 Park Ave
41St Floor
New York, NY 10167-0002
Phone (212) 922-0820

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

LicenseStateTypeSpecialty
046278-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1669644365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PARK AVE",
            "address_2": "41ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101670002",
            "telephone_number": "212-922-0820",
            "fax_number": "212-922-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 MADISON AVE",
            "address_2": "LEVEL C1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101790001",
            "telephone_number": "212-272-1711",
            "fax_number": "212-272-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046278-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.