Individual provider Active NPI

Alfredo Lloreda, M.D.

  • Plastic Surgery Physician
  • Latham, NY
National Provider Identifier
1699114850
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
311273-01 Issued in NY
Practice address
1072 Troy-Schenectady Road
Suite 201
Latham, NY 12110
Phone
(518) 786-7000
Fax
(518) 786-1160
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 256937 MA
Plastic Surgery Physician 208200000X 311273-01 NY Primary

Addresses

Primary practice location

1072 Troy-Schenectady Road
Suite 201
Latham, NY 12110

Mailing address

1072 Troy-Schenectady Road
Suite 201
Latham, NY 12110
Phone (518) 786-7000

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
I20210804003366 NY Practitioner - Plastic and Reconstructive Surgery 5395989503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edwin F Williams III MD Facial Plastic Surgery PLLCGroup PAC ID 8628982410, 3 clinicians

Practice addresses (Care Compare)

1072 Troy Schenectady Rd
Latham, NY 12110-1019
Phone (518) 283-2402

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311273-01NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin F Williams III MD Facial Plastic Surgery, PLLC Plastic Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

1072 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 283-2402

Interoperability endpoints

  • Direct secure messaging: alloreda1324734@direct.trinity-health.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1699114850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 TROY-SCHENECTADY ROAD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-786-7000",
            "fax_number": "518-786-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 TROY-SCHENECTADY ROAD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-786-7000",
            "fax_number": "518-786-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOREDA",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "256937",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "311273-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.