Individual provider Active NPI

Lillian R Graf, M.D.

  • Dermatology Physician
  • Bayside, NY
National Provider Identifier
1881764454
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
137358 Issued in NY
Practice address
21418 24TH Ave
Bayside, NY 11360-2219
Phone
(718) 428-6000
Fax
(718) 423-5102
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 137358 NY Primary

Addresses

Primary practice location

21418 24TH Ave
Bayside, NY 11360-2219

Mailing address

21418 24TH Ave
Bayside, NY 11360-2219
Phone (718) 428-6000

Other names 1

  • Lillian Chubak Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20091015000308 NY Practitioner - Dermatology 9133265598
I20200630002809 NJ Practitioner - Dermatology 9133265598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21418 24TH Ave
Bayside, NY 11360-2219

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions967
Removal or shaving of skin growth1-10
Skin biopsy407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137358NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Dermatology CurrentSince Mar 26, 2020 Accepting new patients

Locations

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

110 E 55th St
Fl 14
New York, NY 10022
Phone (212) 238-3000

Networks

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

Interoperability endpoints

  • Direct secure messaging: lillian.graf@schweigerderm.emadirect.md

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1881764454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21418 24TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602219",
            "telephone_number": "718-428-6000",
            "fax_number": "718-423-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21418 24TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602219",
            "telephone_number": "718-428-6000",
            "fax_number": "718-423-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "LILLIAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "137358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "CHUBAK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.