Lober Cervantes, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

234737 Issued in NY

Practice address

10850 62ND Dr
Ste la
Forest Hills, NY 11375-8420

Phone

(718) 896-8000

Fax

(718) 896-8009

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• L&L Cervantes Medical PC

  • Specialist
  • Woodside, NY
  • NPI 1518102987
  Medicare reassignment Authorized official
• Forest Hills Psychiatric Services, P.C

  • Specialist
  • Forest Hills, NY
  • NPI 1194880336
  NPD (past)
• Oficina Psiquiatrica Hispana

  • Psychiatry Physician
  • Jackson Heights, NY
  • NPI 1861651010
  NPD (past)
• Queens Nassau Psychiatric Services PLLC

  • Psychiatry Physician
  • New Hyde Park, NY
  • NPI 1508267113
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1962442780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 62ND DR",
            "address_2": "STE LA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113758420",
            "telephone_number": "718-896-8000",
            "fax_number": "718-206-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 62ND DR",
            "address_2": "STE LA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113758420",
            "telephone_number": "718-896-8000",
            "fax_number": "718-896-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "LOBER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2646399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celestial Sono, Inc
• Jaslyn Celleri
• Olivia Cenname-Policarpo, BCBA
• Christina Cenovski
• Century Medical Services P.C.
• Elena Chachik
• Jitendra S Chadda, MD
• Chadha Physician PC
• Jang B Chadha, MD, FACP,FCCP, FAASM
• Maria Antonia Chaguendo

• Psychiatry Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.