Organization Active NPI

Maspeth Dental -HL,P.C.

  • General Practice Dentistry
  • Maspeth, NY
National Provider Identifier
1891837704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047347 Issued in NY
Legal business name
MASPETH DENTAL -HL,P.C.
Practice address
6662 Grand Ave
Maspeth, NY 11378-2531
Phone
(718) 779-9000
Fax
(718) 779-3725
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Lorber, DDSNPI 1417932088
Title
Owner
Phone
(718) 779-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 047347 NY Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 027038 NY

Addresses

Primary practice location

6662 Grand Ave
Maspeth, NY 11378-2531

Mailing address

6662 Grand Ave
Maspeth, NY 11378-2531
Phone (718) 779-9000

Other identifiers 1

IdentifierTypeStateIssuer
01912481MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221002496 NY DME Supplier - Oral Surgery - Dentist 6305147117 Practice locations: Maspeth, NY

National Provider Directory

National Provider Directory

Locations

6662 Grand Ave
Maspeth, NY 11378
Phone (718) 779-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891837704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6662 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782531",
            "telephone_number": "718-779-9000",
            "fax_number": "718-779-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6662 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782531",
            "telephone_number": "718-779-9000",
            "fax_number": "718-779-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASPETH DENTAL -HL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-779-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047347",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "027038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01912481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.