Individual provider Active NPI

Lane S Palmer, MD

  • Urology Physician
  • New Hyde Park, NY
National Provider Identifier
1700815032
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
184849 Issued in NY
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

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
017232443MedicaidNY

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
I20040602001544 NY Practitioner - Pediatric MedicinePractitioner - Urology 8224010319 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
North Shore-Lij Medical PC Urology CurrentSince Apr 1, 2019 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

  • Direct secure messaging: lanepalmer@mai.allscriptsdirect.net
  • Direct secure messaging: lane.palmer@pedsurology.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.