LOVELACE MEDICAL PC NPI 1366621401

NPI Information

  • NPI: 1366621401
  • Provider Name: LOVELACE MEDICAL, PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 944 N BROADWAY
    SUITE 102
    YONKERS, NY
    ZIP 10701
  • Phone: (901) 726-4110

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NPI Details

LOVELACE MEDICAL, PC is a general practice in Yonkers, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LOVELACE MEDICAL, PC NPI is 1366621401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

944 N BROADWAY
SUITE 102
YONKERS, NY
ZIP 10701-304
Phone: (901) 726-4110

The provider's authorized official is Jerry Lee Lovelace .
The authorized official title is Physician and has the following contact phone number (901) 726-4110.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 3/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice226835NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WGC671MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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