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Deactivated NPI 1598847766 Deactivated / Inactive NPI Male Practitioner

Dr. Sam Lan , MD, PhD

Surgery • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sam Lan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 19, 2006
NPI Deactivation Date September 10, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Sam Lan, MD, PhD was a registered Surgery practicing in Bronx, NY. Throughout an active medical career spanning 15 years, Dr. Lan provided care at the practice location at MONTEFIORE MEDICAL PARK until profile deactivation on 2021-09-10.

Practice Location & Contact Primary Location

Practice Address

Montefiore Medical Park
1575 Blondell Avenue, Ste. 125

Bronx, NY 10461

Telephone 7184058237

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
113 Specialists

Practicing in Bronx, NY (2269 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 131343

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Dr. Joel Zonszein , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1063502771

Doctor of Medicine (M.D.)

Dr. Ulrich Schubart , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1083799852

Doctor of Medicine (M.D.)

Dr. Jay Dobkin , MD

Internal Medicine - Pulmonary Disease

NPI 1104901974

Doctor of Medicine (M.D.)

Dr. Louis Weiss , MD, MPH

Internal Medicine - Infectious Disease

NPI 1144310996

Doctor of Medicine (M.D.), Master of Public Health

Dr. Harry Shamoon , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1154410488

Doctor of Medicine (M.D.)

Dr. Simone Saltzman , MD

Internal Medicine

NPI 1174608947

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 10, 2021

Record deactivated on September 10, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at MONTEFIORE MEDICAL PARK, 1575 BLONDELL AVENUE, STE. 125, BRONX, NY 10461 (Tel: 7184058237)

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Updated Business Mailing Address July 08, 2007

Registered at 48 EDGEWOOD AVE, LARCHMONT, NY 105382335 (Tel: 7184058237)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAM LAN, MD,PH.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #131343 in NY)

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Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598847766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: July 08, 2007
Deactivation Date: September 10, 2021

Mailing Address

48 Edgewood Ave

Larchmont, NY 105382335

Phone: 7184058237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.