Look up the most recent NPI and PECOS records

Sanjay Lodha

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Sanjay Lodha is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1265595300
Provider Type
Individual
Full Name
Lodha, Sanjay
Title
Mr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
12/19/2006
Last Updated
1/10/2019

Contact Information

Practice Location

4572 Parsons Blvd, Flushing, NY 11355

(718) 886-4848

(718) 886-5418

Mailing Location

4572 Parsons Blvd, Flushing, NY 11355-2221

(718) 886-4848

(718) 886-5418

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 224264 New York

Provider Identifiers

ID	Description	Issuer
ID 02241312	Description Medicaid	Issuer Unlisted New York

Sanjay Lodha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Reuben, Stephen

Reznicek, Antonin Jiri

Shah, Nathubhai C

Kuo, Tina Mu-Hsin

Hassan, Ahmed Mahdi

Wang, Vincent Yuancong

Khan, Alvi Faisal

Pang, Dorothy Santos

Zhang, Xueshu

Khatun, Marufa