Individual provider Active NPI

Eileen Kessler Lambroza, MD

  • Procedural Dermatology Physician
  • New York, NY
National Provider Identifier
1962585984
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
180382 Issued in NY
Practice address
1085 Park Ave
New York, NY 10128-1168
Phone
(212) 717-7300
Fax
(212) 517-7789
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 180382 NY
Procedural Dermatology Physician 207NS0135X 180382 NY Primary

Addresses

Primary practice location

1085 Park Ave
New York, NY 10128-1168

Mailing address

1085 Park Ave
New York, NY 10128-1168
Phone (212) 717-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 28, 2013 through Feb 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
180382NYMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1962585984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281168",
            "telephone_number": "212-717-7300",
            "fax_number": "212-517-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281168",
            "telephone_number": "212-717-7300",
            "fax_number": "212-517-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBROZA",
        "first_name": "EILEEN",
        "middle_name": "KESSLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "180382",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "180382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.