Individual provider Active NPI

Luis U Hammer, P.A.

  • Medical Physician Assistant
  • Corona, NY
National Provider Identifier
1801077482
Registry record updated Nov 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006015-1 Issued in NY
Practice address
10401 Corona Ave
Corona, NY 11368-2923
Phone
(718) 271-2020
NPI assigned
Nov 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006015-1 NY Primary

Addresses

Primary practice location

10401 Corona Ave
Corona, NY 11368-2923

Mailing address

10401 Corona Ave
Corona, NY 11368-2923

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140619000917 NY Order and Referring Only - Physician Assistant 1557585213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006015-1NYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195862400000",
    "number": "1801077482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682923",
            "telephone_number": "718-271-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "LUIS",
        "middle_name": "U",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-24",
        "last_updated": "2007-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006015-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.