Individual provider Active NPI

Daniel Laroche, M.D.

  • Ophthalmology Physician
  • Queens Village, NY
National Provider Identifier
1841225786
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
202107 Issued in NY
Practice address
21541 Jamaica Ave
Queens Village, NY 11428-1736
Phone
(718) 217-0424
Fax
(718) 217-0459
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 202107 NY Primary

Addresses

Primary practice location

21541 Jamaica Ave
Queens Village, NY 11428-1736

Mailing address

21541 Jamaica Ave
Queens Village, NY 11428-1736
Phone (718) 217-0424

Other identifiers 1

IdentifierTypeStateIssuer
01749444MedicaidNY

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
I20050224000485 NY Practitioner - Ophthalmology 9739132234 Reassigns benefits to 2 organizations
Practice locations: New York, NY; Queens Village, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 W 127TH St
New York, NY 10027-3824
Phone (212) 663-0473

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202107NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Laroche, MD, PC Ophthalmology CurrentSince Jan 1, 2006 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
St Lukes Roosevelt Community Care Ophthalmology Past Accepting new patients
SLR Ophthalmology Associates, PC Past Accepting new patients

Locations

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

21541 Jamaica Ave
Queens Vlg, NY 11428
Phone (718) 217-0424

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1841225786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21541 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281736",
            "telephone_number": "718-217-0424",
            "fax_number": "718-217-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21541 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281736",
            "telephone_number": "718-217-0424",
            "fax_number": "718-217-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCHE",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "202107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.