Individual provider Active NPI

Lori A Lundberg, DPM

  • Podiatrist
  • Star Lake, NY
National Provider Identifier
1811995384
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005411-1 Issued in NY
Practice address
1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone
(315) 848-5404
Fax
(315) 848-3285
NPI assigned
Jul 8, 2005
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005411-1 NY Primary

Addresses

Primary practice location

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143

Mailing address

325 Lark St
Albany, NY 12208-3501
Phone (518) 542-0582

Other identifiers 1

IdentifierTypeStateIssuer
01894393MedicaidNY

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
I20070314000523 NY Practitioner - Podiatry 0840393773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton-Fine Healthcare CorporationGroup PAC ID 9739090382, 17 clinicians
Andrew Hune DPM PLLCGroup PAC ID 6103252291, 6 clinicians
Boltrope Podiatry Ny PLLCGroup PAC ID 5496135329, 32 clinicians

Practice addresses (Care Compare)

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone (315) 848-3351

103 Hurley Ave
Kingston, NY 12401-2829
Phone (845) 339-4191

1323 Route 9 106
Wappingers Falls, NY 12590-4977
Phone (845) 297-4055

2317 Balltown Rd
Suite 102
Niskayuna, NY 12309-2342
Phone (518) 374-2468

28 Hope PLZ
West Coxsackie, NY 12192-1225
Phone (518) 731-5444

86 Healy Blvd
Suite 2
Hudson, NY 12534-1511
Phone (877) 339-4832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.8 of 100Reported as group
Quality
89.27
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
93.52
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue245
Removal of nail tissue770
Removal or shaving of skin growth130
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005411-1NYMDPodiatrist
005411NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Foot Associates, LLP CurrentSince Oct 1, 2022 Accepting new patients
Clifton-Fine Healthcare Corporation CurrentSince Nov 28, 2024 Accepting new patients
Andrew Hune DPM, PLLC Podiatrist CurrentSince Mar 24, 2026 Accepting new patients
Andrew Hune, DPM PLLC Podiatrist CurrentSince Mar 24, 2026 Accepting new patients
Cur Alta Medical Ny PLLC Podiatrist CurrentSince Nov 4, 2024 Accepting new patients
Hudson Valley Foot Associates, LLP CurrentSince Oct 1, 2022 Accepting new patients
Cur Alta Medical Ny PLLC Podiatrist CurrentSince Nov 4, 2024 Accepting new patients
Joseph a Crisafulli Past Accepting new patients
Salvatore J Galluzzo DPM Podiatrist Past Accepting new patients
Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC Past Accepting new patients

Locations

261 Delaware Ave
Delmar, NY 12054
Phone (518) 439-0423

86 Healy Blvd
#2
Hudson, NY 12534
Phone (877) 339-4382

103 Hurley Ave
Kingston, NY 12401
Phone (845) 339-4191

111 Main St
Nanuet, NY 10954
Phone (845) 623-5863

2317 Balltown Rd
Ste 102
Niskayuna, NY 12309
Phone (518) 374-2468

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

1323 Route 9
Ste 106
Wappingers Fl, NY 12590
Phone (845) 297-4055

28 Hope Plz
West Coxsackie, NY 12192
Phone (518) 731-5444

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1811995384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 LARK ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083501",
            "telephone_number": "518-542-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 OSWEGATCHIE TRAIL RD",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903143",
            "telephone_number": "315-848-5404",
            "fax_number": "315-848-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005411-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01894393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Star Lake, NY

Sources for this page

Verify at the official NPI Registry.