Active NPI
Daniel Laroche, M.D.
- Ophthalmology Physician
- Queens Village, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 202107
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01749444 | Medicaid | NY |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202107 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Laroche, MD, PC | Ophthalmology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Queens Village, NY
- NPI 1306990007
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- New York, NY
- NPI 1437421252
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- Legal Medicine
- New York, NY
- NPI 1457405896
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- Internal Medicine Physician
- New York, NY
- NPI 1740469246
Ophthalmology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.