Organization Active NPI

Lam Quan, M.D., P.C.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • North Baldwin, NY
National Provider Identifier
1891074902
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
A241419 Issued in NY
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

Updated by the provider on Jul 7, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02892455MedicaidNY

Other names 1

  • Quantum Medical Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.