Individual provider Active NPI

Pauline Lau, MD

  • Hematology & Oncology Physician
  • Flushing, NY
National Provider Identifier
1972576114
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
200907 Issued in NY
Practice address
3609 Main St
Suite 6B
Flushing, NY 11354
Phone
(718) 353-1688
Fax
(718) 353-2388
NPI assigned
Feb 8, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200907 NY
Hematology & Oncology Physician 207RH0003X 200907 NY Primary

Addresses

Primary practice location

3609 Main St
Suite 6B
Flushing, NY 11354

Mailing address

3609 Main St
Suite 6B
Flushing, NY 11354-6504
Phone (718) 353-1688

Other identifiers 1

IdentifierTypeStateIssuer
02233443MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120126000493 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5193992493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3609 Main St
Suite 6B
Flushing, NY 11354-6504
Phone (718) 353-1688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200907NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lau Medical Oncology PC CurrentSince Oct 5, 2002 Accepting new patients

Locations

3609 Main St
Ste 6B
Flushing, NY 11354
Phone (718) 353-1688

17 Elizabeth St
#306
New York, NY 10013
Phone (718) 353-1688

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1972576114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MAIN ST",
            "address_2": "SUITE 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546504",
            "telephone_number": "718-353-1688",
            "fax_number": "718-353-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MAIN ST",
            "address_2": "SUITE 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-353-1688",
            "fax_number": "718-353-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200907",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "200907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02233443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.