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Active NPI 1407198724 Individual Practitioner Female Practitioner

Ida Man Shan Lam , RD

Dietitian, Registered • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Ida Lam, RD is a registered healthcare professional specializing in Dietitian, Registered in Flushing, NY. Practice services are available at 4110 BOWNE ST under active NPI credentials.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4110 Bowne St
Ste L3

Flushing, NY 113555606

Telephone 7189611496
Fax 7189611494
Associated Practice Facility / Clinic
🏢 Da-Nutrition Pllc Facility NPI 1689916934

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.2 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Flushing, NY (4786 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
84 21 $50.00 $32.57

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NY 1020937

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Danying Li , RDN

Dietitian, Registered

NPI 1215664180

Registered Dietitian Nutritionist

Diyun Wang , RD

Dietitian, Registered

NPI 1891577979

Registered Dietitian

Zhuxin Yin

Dietitian, Registered

NPI 1902603590

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 30, 2018

Registered at 4110 BOWNE ST, STE L3, FLUSHING, NY 113555606 (Tel: 7189611496)

📍
Updated Business Mailing Address November 30, 2018

Registered at 4110 BOWNE ST, STE L3, FLUSHING, NY 113555606 (Tel: 7189611496)

NPI Profile Active March 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2013

Registered at 3609 MAIN ST STE 204B, FLUSHING, NY 113546504 (Tel: 9179152098)

📍
Updated Business Mailing Address March 25, 2013

Registered at 3231 201ST ST, BAYSIDE, NY 113611015

👤
Provider Name / Credentials Updated March 25, 2013

Recorded as IDA LAM, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2013

Dietitian, Registered (License #1020937 in NY)

🟢
Initial NPI Registration & Enumeration March 25, 2013

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: 1407198724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2013
Last Update: November 30, 2018
Sole Proprietor: No

Mailing Address

4110 Bowne St, Ste L3

Flushing, NY 113555606

Phone: 7189611496

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.