Mario Lavelanet, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

190765 Issued in NY

Practice address

11751 220TH St
Cambria Heights, NY 11411-1608

Phone

(718) 723-4303

NPI assigned

Jan 18, 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

Specialty

Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Ridge Medical Group, PLLCGroup PAC ID 0244677789, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJACBA/Endpoint/HJACBA

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.

• Bay Ridge Medical Group, PLLC

  • Interventional Cardiology Physician
  • Brooklyn, NY
  • NPI 1245097989
  Medicare reassignment Care Compare group NPD
• Cambria Health Medical, P.C.

  • Internal Medicine Physician
  • Cambria Heights, NY
  • NPI 1174912240
  Medicare reassignment Authorized official
• Nyc Medical Doctor P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1831489798
  Medicare reassignment NPD
• Baisley Medical Services PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1114176864
  NPD (past)
• Caritas Emergency Medical Services, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1225134851
  NPD (past)
• Caritas Emergency Medical Services, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Elmhurst, NY
  • NPI 1518063155
  NPD (past)
• Triumph Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Queens Village, NY
  • NPI 1164692588
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1972583953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 159TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321103",
            "telephone_number": "718-969-2367",
            "fax_number": "718-969-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 220TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111608",
            "telephone_number": "718-723-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELANET",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01616568",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence William Krepela
• La Bella Homecare
• Barbara Lahens, LPN
• Alana Lambertis
• Immacula Lamour
• Jacqueline Leach
• Mario Lecorps, RN
• Sandra Y. Ledyard, LCSW
• Belande Leger
• Frantz Lerebours, M.D.

• Internal Medicine Physician in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.