Delatre Lolo, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

210931 Issued in NY

Practice address

1901 1St Ave
New York, NY 10029-7404

Phone

(212) 423-6771

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical and Dental Care, Inc.Group PAC ID 2062487739, 17 clinicians

Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore Nyack Hospital Home Health Agency Home health agency, New City, NY, CCN 337168
• Metropolitan Hospital Center Hospital, New York, NY, CCN 330199

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: delatrelolo@cmdci.allscriptsdirect.net
• Direct secure messaging: dlolo@hiemail.healtheconnections.org
• Direct secure messaging: dlolo839696@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment Care Compare group NPD
• Community Medical & Dental Care Inc

  dba Monsey Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Monsey, NY
  • NPI 1972681484
  Medicare reassignment Care Compare group
• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Metropolitan Hospital Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1013924372

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montefiore Nyack Hospital

  • Home Health Agency
  • New City, NY
  • NPI 1538180559
  Care Compare affiliation
• New York City Health and Hospitals Corporation

  dba Metropolitan Hospital Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1013924372
  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790850030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RALEIGH DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565841",
            "telephone_number": "845-639-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLO",
        "first_name": "DELATRE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthi Lokaiyan
• Athena Maria Lolis, M.D.
• Lauren Lolis, PA
• Gregory Lollo Jr.
• Gregory Lollo, MD
• Jillian Lomando, FNP
• Samantha Lomando, M.D.
• Erika B Lomangino, AGPCNP-BC
• Iyana Lomas
• Laura Lombardi-Karl

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.