Individual provider Active NPI

Joan G Lehach, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • New Rochelle, NY
National Provider Identifier
1740241785
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
176701 Issued in NY
Practice address
164 Church St Apt 3K
New Rochelle, NY 10805-3244
Phone
(475) 689-4634
Fax
(914) 885-1781
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 176701 NY Primary

Addresses

Primary practice location

164 Church St Apt 3K
New Rochelle, NY 10805-3244

Mailing address

164 Church St Apt 3K
New Rochelle, NY 10805-3244
Phone (475) 689-4634

Other identifiers 1

IdentifierTypeStateIssuer
01248159MedicaidNY

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
I20101204000128 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5698962520 Practice locations: Larchmont, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176701NYMDAllergy & Immunology (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1740241785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CHURCH ST APT 3K",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053244",
            "telephone_number": "475-689-4634",
            "fax_number": "914-885-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CHURCH ST APT 3K",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053244",
            "telephone_number": "475-689-4634",
            "fax_number": "914-885-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHACH",
        "first_name": "JOAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "176701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.