Organization Active NPI

Lamd Medical Group and Multispecialty Corp

  • Multi-Specialty Clinic/Center
  • Woodside, NY
National Provider Identifier
1992160758
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
214048 Issued in NY
Legal business name
LAMD MEDICAL GROUP AND MULTISPECIALTY CORP
Practice address
6506 Roosevelt Ave
Woodside, NY 11377-2928
Phone
(718) 639-3603
Fax
(718) 639-3605
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Loren A. Martinez, PANPI 1225563166
Title
Gen. Operational Manager
Phone
(718) 639-3603

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 214048 NY Primary

Addresses

Primary practice location

6506 Roosevelt Ave
Woodside, NY 11377-2928

Mailing address

6506 Roosevelt Ave
Woodside, NY 11377-2928
Phone (718) 639-3603

Other practice location 1

5301 66th St
Maspeth, NY 11378-1734
Phone (718) 639-3603

Other identifiers 2

IdentifierTypeStateIssuer
33D1043979OtherNYCLIA
05593980MedicaidNY

Other names 1

  • LAMD MEDICAL GROUP AND MULTI SPECIALTY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ECLINICALWORKS Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992160758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772928",
            "telephone_number": "718-639-3603",
            "fax_number": "718-639-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772928",
            "telephone_number": "718-639-3603",
            "fax_number": "718-639-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 66th St",
            "address_purpose": "LOCATION",
            "city": "Maspeth",
            "state": "NY",
            "postal_code": "113781734",
            "country_code": "US",
            "telephone_number": "718-639-3603",
            "fax_number": "718-639-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAMD MEDICAL GROUP AND MULTISPECIALTY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2025-09-11",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "GEN. OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "718-639-3603",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "214048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D1043979",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05593980",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ECLINICALWORKS",
            "affiliation": "N",
            "endpointDescription": "COMPUTER SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6506 Roosevelt Ave",
            "city": "Woodside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113772928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LAMD MEDICAL GROUP AND MULTI SPECIALTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.