Active NPI
Wallace B Lehman, MD
- Pediatric Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1790825081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 082792
- Practice address
- 301 E 17TH St
NYU Hospital for Joint Diseases Suite 413
New York, NY 10003-3804 - Phone
- (212) 598-6403
- Fax
- (212) 598-6084
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 082792 | NY | Primary |
Addresses
Primary practice location
301 E 17TH St
NYU Hospital for Joint Diseases Suite 413
New York, NY 10003-3804
Mailing address
2 East End Ave
PA F
New York, NY 10021-1192
Phone (212) 794-2043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00499409 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- wlehman12462@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790825081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EAST END AVE",
"address_2": "PA F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100211192",
"telephone_number": "212-794-2043",
"fax_number": "212-794-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 17TH ST",
"address_2": "NYU HOSPITAL FOR JOINT DISEASES SUITE 413",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-598-6403",
"fax_number": "212-598-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHMAN",
"first_name": "WALLACE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NY",
"license": "082792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00499409",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.