Individual provider Active NPI

Lori Dyer, MD

  • Pediatric Urology Physician
  • Tarrytown, NY
National Provider Identifier
1851329254
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
2185341 Issued in NY
Practice address
150 White Plains Rd
Suite 306
Tarrytown, NY 10591-5535
Phone
(914) 493-8628
Fax
(914) 493-8564
NPI assigned
Jun 28, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 044721 CT
Urology Physician 208800000X 2185341 NY
Pediatric Urology Physician 2088P0231X 2185341 NY Primary
Pediatric Urology Physician 2088P0231X 044721 CT

Addresses

Primary practice location

150 White Plains Rd
Suite 306
Tarrytown, NY 10591-5535

Mailing address

150 White Plains Rd Ste 306
Tarrytown, NY 10591-5521
Phone (914) 493-8628

Other identifiers 1

IdentifierTypeStateIssuer
02756141MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060915000042 NY Practitioner - UrologyPractitioner - General Surgery 2264437755 Reassigns benefits to 2 organizations
I20231019001863 CT Practitioner - UrologyPractitioner - Pediatric Medicine 2264437755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044721CTMDUrology Physician
2185341NYMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
New York University Pediatric Urology CurrentSince Nov 1, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Aug 16, 2010 Accepting new patients
Pediatric Urology Associates of New Jersey, PC Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

150 White Plains Rd
Ste 306
Tarrytown, NY 10591
Phone (914) 493-8628

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: lori.dyer@pedsurology.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1851329254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WHITE PLAINS RD STE 306",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915521",
            "telephone_number": "914-493-8628",
            "fax_number": "914-493-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WHITE PLAINS RD",
            "address_2": "SUITE 306",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915535",
            "telephone_number": "914-493-8628",
            "fax_number": "914-493-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "044721",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "2185341",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "2185341",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CT",
            "license": "044721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02756141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.