Individual provider Active NPI

Sheldon Lorber, D.D.S.

  • Prosthodontics
  • Flushing, NY
National Provider Identifier
1811990773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
032393 Issued in NY
Practice address
7503 Main St
# 1A
Flushing, NY 11367-2420
Phone
(718) 268-6927
Fax
(718) 268-6996
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

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
Prosthodontics 1223P0700X 032393 NY Primary

Addresses

Primary practice location

7503 Main St
# 1A
Flushing, NY 11367-2420

Mailing address

7503 Main St
# 1A
Flushing, NY 11367-2420
Phone (718) 268-6927

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918001624 NY Order and Referring Only - DentistPractitioner - Dentist 6103133491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032393NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811990773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 MAIN ST",
            "address_2": "# 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672420",
            "telephone_number": "718-268-6927",
            "fax_number": "718-268-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 MAIN ST",
            "address_2": "# 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672420",
            "telephone_number": "718-268-6927",
            "fax_number": "718-268-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORBER",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "032393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.