Active NPI
Lam Quan, M.D., P.C.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- North Baldwin, NY
National Provider Identifier
1891074902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- A241419
- Legal business name
- LAM QUAN, M.D., P.C.
- Doing business as
- Quantum Medical
- Practice address
- 1302 Grand Ave
North Baldwin, NY 11510-1418 - Phone
- (516) 223-7533
- Fax
- (516) 223-7534
- NPI assigned
- Aug 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lam Cu Quan, M.D.
- Title
- President
- Phone
- (917) 670-3530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | A241419 | NY | Primary |
Addresses
Primary practice location
1302 Grand Ave
North Baldwin, NY 11510-1418
Mailing address
27 Sunnyside Blvd
Plainview, NY 11803-1510
Phone (917) 670-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02892455 | Medicaid | NY |
Other names 1
- Quantum Medical
National Provider Directory
National Provider DirectoryLocations
1302 Grand Ave
North Baldwin, NY 11510
Phone (516) 223-7533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341619200000",
"number": "1891074902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SUNNYSIDE BLVD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031510",
"telephone_number": "917-670-3530",
"fax_number": "516-576-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 GRAND AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101418",
"telephone_number": "516-223-7533",
"fax_number": "516-223-7534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAM QUAN, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-06",
"last_updated": "2012-07-07",
"status": "A",
"authorized_official_last_name": "QUAN",
"authorized_official_first_name": "LAM",
"authorized_official_middle_name": "CU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-670-3530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "NY",
"license": "A241419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02892455",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quantum Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.