Individual provider Active NPI

Lobina Kaniz Kalam, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1801952981
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230905 Issued in NY
Practice address
1250 Waters PL
Tower 2 11TH Floor
Bronx, NY 10461-2720
Phone
(866) 633-8255
Fax
(929) 263-3957
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230905 NY Primary

Addresses

Primary practice location

1250 Waters PL
Tower 2 11TH Floor
Bronx, NY 10461-2720

Mailing address

55 Water St
FL 12
New York, NY 10041-0004
Phone (866) 633-8255

Other identifiers 1

IdentifierTypeStateIssuer
2828715MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000090 NY Practitioner - Internal Medicine 4183795206 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2018 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Digestive Disease Care, PC CurrentSince Jan 1, 2021 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2015 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 14, 2024 Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 14, 2024 Accepting new patients
Broadway Cardiopulmonary, P.C. Internal Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Fl 11
Bronx, NY 10461
Phone (347) 577-4410

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

619 Fulton Ave
Hempstead, NY 11550
Phone (516) 572-1300

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1801952981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST",
            "address_2": "FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "866-633-8255",
            "fax_number": "929-263-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "TOWER 2 11TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "866-633-8255",
            "fax_number": "929-263-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAM",
        "first_name": "LOBINA",
        "middle_name": "KANIZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.