Lora Y. Slabodkina, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2367401 Issued in NY

Practice address

1725 E 12TH St
Ste 201
Brooklyn, NY 11229-1068

Phone

(917) 589-2887

NPI assigned

May 16, 2006

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4

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.

• Prominis Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1841323771
  Medicare reassignment Care Compare group NPD
• Start Treatment & Recovery Centers Inc

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1750559712
  Medicare reassignment NPD
• Brooklyn Care Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568668119
  Medicare reassignment
• New Horizon Medical P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Brooklyn, NY
  • NPI 1659324192
  NPD
• Startcare, Inc.

  • Mental Health Counselor
  • New York, NY
  • NPI 1235674409
  NPD
• Startcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1497707806
  NPD
• Liberty Medicine & Rehab.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1699817387
  NPD (past)
• Maspeth Roura Medical Care PC

  • Internal Medicine Physician
  • Maspeth, NY
  • NPI 1588851745
  NPD (past)
• Medical Experts of Texas, P.a.

  • Hospitalist Physician
  • Lewisville, TX
  • NPI 1730395989
  NPD (past)

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

• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1881646149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST",
            "address_2": "STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291068",
            "telephone_number": "917-589-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST",
            "address_2": "STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291068",
            "telephone_number": "917-589-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABODKINA",
        "first_name": "LORA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2367401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "157SB1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyline Social Day Care
• Skypiatrist Psychiatry, PLLC
• Skyway Gifts Incorporated
• SL Quality Care Diagnostic & Treatment Center
• Sla Associates LLC (IDCC Health Services)
• Ann Louise Slabosky, RN, NP
• Zuzanna Slabuszewska
• Melanie J Slaby, PHARMD
• Hellena Slade, LMT
• Anatole Sladen, M.D.

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.

Verify at the official NPI Registry.