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MS. IDA MAN SHAN LAM RD
NPI 1407198724
Dietitian, Registered in Flushing, NY

Active since March 25, 2013Accepts Medicare Assignment
4110 BOWNE ST, STE L3, FLUSHING, NY 11355(718) 961-1496(718) 961-1494 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Ida Man Shan Lam Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IDA MAN SHAN LAM RD (NPI 1407198724) is an individual dietitian, registered in Flushing, New York, licensed in New York (1020937) and active in the NPI registry since March 2013. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1407198724
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. IDA MAN SHAN LAMCredential: RD
Location Address4110 BOWNE ST, STE L3Flushing, NY 11355-5606
Mailing Address4110 Bowne St, Ste L3Flushing, NY 11355-5606 · (718) 961-1496 · Fax (718) 961-1494
Phone(718) 961-1496
Fax(718) 961-1494
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 25, 2013
Last NPPES UpdateNovember 30, 2018
✔ NPI 1407198724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 1020937
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4110 BOWNE ST, Flushing, NY 11355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ida Man Shan Lam Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476776022
PECOS Enrollment IDI20140529000038

Medicare Billing Reassignment

Medicare enrollment records show Ida Lam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Da-Nutrition PLLC
Same address
Clinic/Center
41-10 BROWNE STREET, STE L3
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
NPI 1689916934 (718) 961-1496

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES MYUNGCHIN HA M.D.
Internal Medicine
4110 BOWNE ST, #L-3
FLUSHING, NY 11355
Queens County (718) 353-5730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida Lam's NPI number?

The NPI number for Ida Lam is 1407198724. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Ida Lam located?

Ida Lam practices at 4110 Bowne St Ste L3, Flushing, NY 11355. The listed phone number is (718) 961-1496.

What is Ida Lam's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Ida Lam enrolled in Medicare?

Yes. Ida Lam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ida Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ida Lam reassigns Medicare benefits to Da-Nutrition PLLC (Flushing, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ida Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ida Lam was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.