Individual provider Active NPI

Efrat Lamandre, NP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1023443116
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338371 Issued in NY
Practice address
209 Steinway Ave
Staten Island, NY 10314-4820
Phone
(718) 698-6700
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00455000 NJ
Family Nurse Practitioner 363LF0000X 338371 NY Primary

Addresses

Primary practice location

209 Steinway Ave
Staten Island, NY 10314-4820

Mailing address

45 Braisted Ave
Staten Island, NY 10314-6142
Phone (718) 598-2722

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
I20141219000399 NY Practitioner - Nurse Practitioner 3274856489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
E and G Heathcare, N.P. in Family Health P.L.L.C..Group PAC ID 3476876681, 4 clinicians

Practice addresses (Care Compare)

209 Steinway Ave
Staten Island, NY 10314-4820
Phone (718) 698-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338371NYMDPsychiatry Physician
26NJ00455000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vytaliz Medical CurrentSince Jan 1, 2021 Accepting new patients
E & G Heathcare, N.P. in Family Health P.L.L.C. Family CurrentSince Sep 1, 2014 Accepting new patients

Locations

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

209 Steinway Ave
Staten Island, NY 10314
Phone (718) 698-6700

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lamandre@eaghnifhp-ny.direct.office.nextgen.com
  • Direct secure messaging: elamandre60834@northwell.direct-ci.com

Organizations & group practices 2

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1023443116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BRAISTED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146142",
            "telephone_number": "718-598-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 STEINWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144820",
            "telephone_number": "718-698-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANDRE",
        "first_name": "EFRAT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00455000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.