Active NPI
Lawrence Morton Horowitz, D.O.
- Pediatrics Physician
- Gloversville, NY
National Provider Identifier
1790753820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 107731
- Practice address
- 182 Steele Ave
Gloversville, NY 12078-4617 - Phone
- (518) 773-7520
- Fax
- (518) 773-4629
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 107731 | NY | Primary |
Addresses
Primary practice location
182 Steele Ave
Gloversville, NY 12078-4617
Mailing address
99 E State St
PO Box 1250
Gloversville, NY 12078-1203
Phone (518) 773-7520
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000919 | Other | NY | CDPHP HMO |
| 00542301 | Medicaid | NY | |
| 701611 | Other | NY | EMPIRE BLUE CROSS |
| 000025017 | Other | NY | BLUE SHIELD NORTH EAST |
| Y021751 | Other | CHAMPUS | |
| 26125 | Other | NY | MVP HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107731 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1790753820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"address_2": "PO BOX 1250",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781203",
"telephone_number": "518-773-7520",
"fax_number": "518-773-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 STEELE AVE",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120784617",
"telephone_number": "518-773-7520",
"fax_number": "518-773-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "LAWRENCE",
"middle_name": "MORTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "107731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP HMO",
"identifier": "10000919",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00542301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "701611",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NORTH EAST",
"identifier": "000025017",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "Y021751",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HMO",
"identifier": "26125",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.