Active NPI
Lamd Medical Group and Multispecialty Corp
- Multi-Specialty Clinic/Center
- Woodside, NY
National Provider Identifier
1992160758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 214048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loren A. Martinez, PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33D1043979 | Other | NY | CLIA |
| 05593980 | Medicaid | NY |
Other names 1
- LAMD MEDICAL GROUP AND MULTI SPECIALTY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ECLINICALWORKS | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Woodside, NY
- NPI 1225563166
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.