Active NPI
Maspeth Dental -HL,P.C.
- General Practice Dentistry
- Maspeth, NY
National Provider Identifier
1891837704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 047347
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Lorber, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 047347 | NY | Primary |
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01912481 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151221002496 | NY | DME Supplier - Oral Surgery - Dentist | 6305147117 | Practice locations: Maspeth, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Maspeth, NY
- NPI 1417932088
-
- Dentist
- Maspeth, NY
- NPI 1235231788
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.