Individual provider Active NPI

Christine Vivian Lorenzo, M.D.

  • Family Medicine Physician
  • Ithaca, NY
National Provider Identifier
1801981402
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
183553 Issued in NY
Practice address
953 Danby Road
Hammond Health Center - Ithaca College
Ithaca, NY 14850
Phone
(607) 274-3177
NPI assigned
Oct 3, 2006
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 183553 NY Primary

Addresses

Primary practice location

953 Danby Road
Hammond Health Center - Ithaca College
Ithaca, NY 14850

Mailing address

217 Cornell Street
Ithaca, NY 14850
Phone (607) 274-3177

Other identifiers 2

IdentifierTypeStateIssuer
01442768MedicaidNY
P010183553OtherNYBLUE CHOICE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000060 NY Practitioner - Family Practice 2567562275 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Reach Project Inc CurrentSince Aug 1, 2020 Accepting new patients
Reach Medical PLLC CurrentSince May 20, 2019 Accepting new patients
Cornell University Past Accepting new patients

Locations

1001 W Seneca St
Ithaca, NY 14850
Phone (607) 273-7000

130 E Seneca St
Ste 300
Ithaca, NY 14850

402 N Cayuga St
Ithaca, NY 14850
Phone (607) 273-5551

Interoperability endpoints

  • Direct secure messaging: christine.lorenzo.1@17251.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17251/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1801981402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CORNELL STREET",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-274-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DANBY ROAD",
            "address_2": "HAMMOND HEALTH CENTER - ITHACA COLLEGE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-274-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "CHRISTINE",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01442768",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PROVIDER #",
            "identifier": "P010183553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.