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ANTONIO LAM DO
NPI 1780172965
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
111 E 210TH ST, BRONX, NY 10467(718) 920-4154 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Apr 2, 2024, Apr 24, 2018 (3 updates tracked since 2018).

About Antonio Lam Do NPPES

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

ANTONIO LAM DO (NPI 1780172965) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780172965
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO LAMCredential: DO
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address759 Chestnut StSpringfield, MA 01199-1001 · (413) 794-0000
Phone(718) 920-4154
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 24, 2018
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1780172965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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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

Antonio Lam Do 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 ID4486901667
PECOS Enrollment IDI20240924003638
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Antonio Lam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Good Samaritan Hospital Medical Center
33 mi
Physician Assistant
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
NPI 1518901180 (631) 376-4027
St. Charles Hospital Corp.
43 mi
General Acute Care Hospital
200 BELLE TERRE RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 210 clinicians in this Medicare group
NPI 1497765630 (631) 474-6000
Long Island Laparoscopic Surgery,p.L.L.C.
43 mi
Specialist
625 BELLE TERRE ROAD, SUITE 202
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1881997724 (631) 689-0220

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Antonio Lam's NPI number?

The NPI number for Antonio Lam is 1780172965. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Antonio Lam located?

Antonio Lam practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4154.

What is Antonio Lam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Antonio Lam enrolled in Medicare?

Yes. Antonio 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 organizations bill Medicare for Antonio Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Lam reassigns Medicare benefits to 4 organizations: Montefiore Medical Center (Bronx, NY), Good Samaritan Hospital Medical Center (West Islip, NY), St. Charles Hospital Corp. (Port Jefferson, NY) and Long Island Laparoscopic Surgery,p.L.L.C. (Port Jefferson, NY). Each 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 Antonio Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Antonio Lam affiliated with any hospitals?

According to CMS data, Antonio Lam is affiliated with John T Mather Memorial Hospital Of Port Jefferson and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Antonio Lam was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.