Lawrence Joseph Minei, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

105616 Issued in NY

Practice address

365 East Main St
South Brook Haven Health Center West
Patchoque, NY 11772

Phone

(631) 854-1307

Fax

(631) 854-1310

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• Bethpage Medical, PLLC

  • Obstetrics & Gynecology Physician
  • Garden City, NY
  • NPI 1205074739
  NPD (past)
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Greenport, NY
  • NPI 1851585962
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003825225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 EAST MAIN ST",
            "address_2": "SOUTH BROOK HAVEN HEALTH CENTER WEST",
            "city": "PATCHOQUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-854-1307",
            "fax_number": "631-854-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 EAST MAIN ST",
            "address_2": "SOUTH BROOK HAVEN HEALTH CENTER WEST",
            "city": "PATCHOQUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-854-1307",
            "fax_number": "631-854-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEI",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "105616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00506450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl A Deshrage, MD
• Duane Reade
• Anna Theresa Schilb, RN

• Obstetrics & Gynecology Physician in Patchoque, NY
• Providers in Patchoque, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.