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

Active since April 24, 2018PECOS Enrolled
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: August 16, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Antonio Lam Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 enrollment system.

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.