Individual provider Active NPI

Dan Lu, MD

  • Internal Medicine Physician
  • West Hempstead, NY
National Provider Identifier
1811052293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211410 Issued in NY
Practice address
199 Hempstead Tpke
West Hempstead, NY 11552-1536
Phone
(516) 565-4110
Fax
(516) 565-3313
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 211410 NY Primary

Addresses

Primary practice location

199 Hempstead Tpke
West Hempstead, NY 11552-1536

Mailing address

56 Shelbourne LN
New Hyde Park, NY 11040-1044
Phone (516) 244-3032

Other identifiers 1

IdentifierTypeStateIssuer
02154869MedicaidNY

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
I20051221000981 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7810919503 Reassigns benefits to 1 organization
Practice locations: Flushing, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jingbo Liu Physician PC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
New York College of Traditional Chinese Medicine Past Accepting new patients
Dr Shih Wang Physician PC Internal Medicine PastSince Nov 14, 2009 Accepting new patients

Locations

199 Hempstead Tpke
West Hempstead, NY 11552
Phone (516) 565-4110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811052293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SHELBOURNE LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401044",
            "telephone_number": "516-244-3032",
            "fax_number": "516-270-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HEMPSTEAD TPKE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521536",
            "telephone_number": "516-565-4110",
            "fax_number": "516-565-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "DAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02154869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.