Individual provider Active NPI

Lauren Catherine Hendrick Stahlsmith, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1003524257
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-16637 Issued in NC
Practice address
99 Park Ave FL 20
New York, NY 10016-1601
Phone
(212) 972-4444
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-16637 NC Primary
Medical Physician Assistant 363AM0700X 028799 NY

Addresses

Primary practice location

99 Park Ave FL 20
New York, NY 10016-1601

Mailing address

300 E 57TH St Apt 2H
New York, NY 10022-2994
Phone (716) 490-2763

Other names 1

  • Lauren Catherine Hendrick Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Salesfore Direct
Other URL Salesforce

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001261 NY Practitioner - Physician Assistant 2769830876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028799NYMDSpeech-Language Pathologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1003524257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 57TH ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222994",
            "telephone_number": "716-490-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PARK AVE FL 20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161601",
            "telephone_number": "212-972-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK STAHLSMITH",
        "first_name": "LAUREN",
        "middle_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16637",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "028799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Salesfore",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "99 Park Ave Fl 20",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100161601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Salesforce",
            "affiliation": "N",
            "address_1": "99 Park Ave Fl 20",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100161601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HENDRICK",
            "middle_name": "CATHERINE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.