Individual provider Active NPI

Lester N Ploss, M.D.

  • Specialist
  • Freeport, NY
National Provider Identifier
1750371241
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
076328 Issued in NY
Practice address
241 Pennsylvania Ave
Freeport, NY 11520-1328
Phone
(516) 379-6121
Fax
(516) 379-6761
NPI assigned
Oct 25, 2005
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 076328 NY Primary

Addresses

Primary practice location

241 Pennsylvania Ave
Freeport, NY 11520-1328

Mailing address

241 Pennsylvania Ave
Freeport, NY 11520-1328
Phone (516) 379-6121

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
I20101123000808 NY Practitioner - Internal Medicine 9537355045 Practice locations: Freeport, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076328NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1750371241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PENNSYLVANIA AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201328",
            "telephone_number": "516-379-6121",
            "fax_number": "516-379-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PENNSYLVANIA AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201328",
            "telephone_number": "516-379-6121",
            "fax_number": "516-379-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSS",
        "first_name": "LESTER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "076328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.