Individual provider Active NPI

Daniel Lorber, M.D.,F.A.C.P.

  • Endocrinology, Diabetes & Metabolism Physician
  • Flushing, NY
National Provider Identifier
1780669887
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
119523 Issued in NY
Practice address
5945 161St St
Flushing, NY 11365-1414
Phone
(718) 762-3111
Fax
(718) 353-6315
NPI assigned
Dec 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 119523 NY Primary

Addresses

Primary practice location

5945 161St St
Flushing, NY 11365-1414

Mailing address

5945 161St St
Flushing, NY 11365-1414
Phone (718) 762-3111

Other identifiers 8

IdentifierTypeStateIssuer
133442196OtherNYMAGNACARE
133442196OtherNYUNITED HEALTHCARE
DL07225210OtherNYEMPIRE B/C B/S
0364819002OtherNYCIGNA
28P0181OtherNYNEW YORK PRESBYTERIAN
DS293OtherNYOXFORD
0C3554OtherNYPHS
166148OtherNYELDERPLAN

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
I20100224000105 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 9133193386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119523NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Sep 1, 2013 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Sep 1, 2013 Accepting new patients
Booth Medical Associates PC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

5945 161st St
Fresh Meadows, NY 11365
Phone (718) 395-4522

17403 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1365

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

1981 Marcus Ave
Ste 2
New Hyde Park, NY 11042

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Interoperability endpoints

  • Direct secure messaging: dll9004@direct.weillcornell.org

Organizations & group practices 3

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1780669887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 161ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651414",
            "telephone_number": "718-762-3111",
            "fax_number": "718-353-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 161ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651414",
            "telephone_number": "718-762-3111",
            "fax_number": "718-353-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORBER",
        "first_name": "DANIEL",
        "credential": "M.D.,F.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "119523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "133442196",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "133442196",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE B/C B/S",
            "identifier": "DL07225210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0364819002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK PRESBYTERIAN",
            "identifier": "28P0181",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DS293",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "0C3554",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "166148",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.