Organization Active NPI

Direct House Medical PLLC

  • Surgery Physician
  • Huntington, NY
National Provider Identifier
1790143386
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
255920159201 Issued in NY
Legal business name
DIRECT HOUSE MEDICAL PLLC
Practice address
119 Woodbury Rd
Huntington, NY 11743-4135
Phone
(917) 515-7819
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Juan F Lessmann, MDNPI 1861647463
Title
Owner
Phone
(917) 515-7819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 255920159201 NY Primary

Addresses

Primary practice location

119 Woodbury Rd
Huntington, NY 11743-4135

Mailing address

119 Woodbury Rd
Huntington, NY 11743-4135
Phone (917) 515-7819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425000339 NY Part B Supplier - Clinic/Group Practice 5597064691 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1790143386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WOODBURY RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434135",
            "telephone_number": "917-515-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WOODBURY RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434135",
            "telephone_number": "917-515-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HOUSE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "LESSMANN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-515-7819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "255920159201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.