Active NPI
Tracy Lawrence-Black, MD
- Neonatal-Perinatal Medicine Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 281882
- Practice address
- 95 Bradhurst Ave
Valhalla, NY 10595-1637 - Phone
- (914) 592-7555
- Fax
- (866) 310-5326
- NPI assigned
- Jul 22, 2005
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 33644 | DC | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 053808 | CT | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 281882 | NY | Primary |
Addresses
Primary practice location
95 Bradhurst Ave
Valhalla, NY 10595-1637
Mailing address
53 Stonewall Cir
West Harrison, NY 10604-1126
Phone (240) 205-0861
Other practice location 1
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053808 | CT | MD | Neonatal-Perinatal Medicine Physician |
| 33644 | DC | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Montefiore New Rochelle Hospital | Current | Accepting new patients | |
| MGMC LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Blythedale Children's Hospital | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
Interoperability endpoints
- tlawrenceblack969570@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1295163244
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
-
- Psychiatry Physician
- Washington, DC
- NPI 1316949654
-
- Children's Rehabilitation Hospital
- Valhalla, NY
- NPI 1679573083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033119953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 STONEWALL CIR",
"city": "WEST HARRISON",
"state": "NY",
"postal_code": "106041126",
"telephone_number": "240-205-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 BRADHURST AVE",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951637",
"telephone_number": "914-592-7555",
"fax_number": "866-310-5326"
}
],
"practiceLocations": [
{
"address_1": "3800 Reservoir Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200072113",
"country_code": "US",
"telephone_number": "202-444-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE-BLACK",
"first_name": "TRACY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "DC",
"license": "33644",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CT",
"license": "053808",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "281882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.