Active NPI
Lane S Palmer, MD
- Urology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 184849
- Practice address
- 1999 Marcus Ave
Suite M18
New Hyde Park, NY 11042-1017 - Phone
- (516) 466-6953
- Fax
- (516) 466-5608
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 184849 | NY | Primary |
| Pediatric Urology Physician | 2088P0231X | 184849 | NY |
Addresses
Primary practice location
1999 Marcus Ave
Suite M18
New Hyde Park, NY 11042-1017
Mailing address
247 Route 100
Suite 1002
Somers, NY 10589-3231
Phone (914) 962-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017232443 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Urology | Current | Accepting new patients |
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Past | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| Pediatric Urology Associates of New Jersey, PC | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1111 Marcus Ave
Ste M17
New Hyde Park, NY 11042
410 Lakeville Rd
Ste 202
New Hyde Park, NY 11042
Phone (516) 216-1777
10 Union Sq E
#3A
New York, NY 10003
Phone (212) 241-4812
300 Community Dr
Plandome, NY 11030
240 Jericho Tpke
Syosset, NY 11791
Phone (516) 497-7900
972 Brush Hollow Rd
Westbury, NY 11590
321 Crossways Park Dr
Ste B
Woodbury, NY 11797
Phone (631) 470-1450
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lanepalmer@mai.allscriptsdirect.net
- lane.palmer@pedsurology.eclinicaldirectplus.com
- lanepalmer@nslijmedgr.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
-
- Specialist
- Englewood, NJ
- NPI 1013295245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1700815032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 ROUTE 100",
"address_2": "SUITE 1002",
"city": "SOMERS",
"state": "NY",
"postal_code": "105893231",
"telephone_number": "914-962-0829",
"fax_number": "914-962-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MARCUS AVE",
"address_2": "SUITE M18",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421017",
"telephone_number": "516-466-6953",
"fax_number": "516-466-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "LANE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "184849",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NY",
"license": "184849",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017232443",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.