NPIMap

Individual provider Active NPI

Alexander Peretz Lock, D.O.

  • Internal Medicine Physician
  • Woodmere, NY
National Provider Identifier
1841459567
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253628 Issued in NY
Practice address
334 Derby Ave
Woodmere, NY 11598-2821
Phone
(718) 207-9920
NPI assigned
Jun 6, 2008
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 253628 NY Primary

Addresses

Primary practice location

334 Derby Ave
Woodmere, NY 11598-2821

Mailing address

334 Derby Ave
Woodmere, NY 11598-2821
Phone (718) 207-9920

Other identifiers 1

IdentifierTypeStateIssuer
A300050882OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000309 NY Practitioner - Internal Medicine 5698953909 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY; Woodmere, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center Maimonides Primary Care FPPGroup PAC ID 5991696916, 32 clinicians
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians
Boro Park Operating Co LLCGroup PAC ID 3577751320, 7 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

4915 10TH Ave
Brooklyn, NY 11219-3301
Phone (718) 851-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Aug 2, 2025 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Boro Park Operating Co LLC CurrentSince Sep 6, 2011 Accepting new patients
Forest Hills Dermatology Group PLLC PastSince Sep 1, 2012 Accepting new patients
Amk Imaging, Inc Past Accepting new patients
Boro Park Operating Co LLC Past Accepting new patients

Locations

3015 W 29th St
Brooklyn, NY 11224
Phone (718) 266-5700

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

Networks

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

Interoperability endpoints

  • Direct secure messaging: alexanderlock@mai.allscriptsdirect.net

Organizations & group practices 8

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 4

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1841459567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 DERBY AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982821",
            "telephone_number": "718-207-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 DERBY AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982821",
            "telephone_number": "718-207-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "ALEXANDER",
        "middle_name": "PERETZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300050882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.