Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LMC PHYSICIAN SERVICES, PC
Active
Organization
LMC PHYSICIAN SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DELLACERRA V.P. (VP MANAGED CARE & REVENUE COMPLIANC)
(718) 630-7103
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-8445
(718) 630-8515
Mailing address
5800 3RD AVE, LUTHERAN MEDICAL CENTER-MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220-3702
(718) 630-7477
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
27667
NY
207K00000X
Allergy & Immunology Physician
27667
NY
207N00000X
Dermatology Physician
27667
NY
207R00000X
Internal Medicine Physician
Primary
27667
NY
207RB0002X
Obesity Medicine (Internal Medicine) Physician
27667
NY
207RG0100X
Gastroenterology Physician
27667
NY
207RH0003X
Hematology & Oncology Physician
27667
NY
207RP1001X
Pulmonary Disease Physician
27667
NY
207X00000X
Orthopaedic Surgery Physician
27667
NY
207Y00000X
Otolaryngology Physician
27667
NY
2084P0800X
Psychiatry Physician
27667
NY
208600000X
Surgery Physician
27667
NY
208800000X
Urology Physician
27667
NY
208C00000X
Colon & Rectal Surgery Physician
27667
NY
363L00000X
Nurse Practitioner
27667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523151
—
NY
Enumeration date
08/01/2006
Last updated
09/08/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up