Individual provider Active NPI

Laura Prendergast, DO

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1033272448
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
228028 Issued in NY
Practice address
5723 Avenue N
Brooklyn, NY 11234-4026
Phone
(718) 531-4600
Fax
(718) 531-1628
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 228028 NY Primary

Addresses

Primary practice location

5723 Avenue N
Brooklyn, NY 11234-4026

Mailing address

5723 Avenue N
Brooklyn, NY 11234-4026
Phone (718) 531-4600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110000384 NY Practitioner - Pediatric Medicine 7517189418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
228028NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 24, 2018 Accepting new patients

Locations

5723 Avenue N
Brooklyn, NY 11234
Phone (718) 251-1111

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Fl 1
Manhasset, NY 11030
Phone (516) 562-2252

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

26901 76th Ave
#102
New Hyde Park, NY 11040
Phone (718) 470-3495

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: lauraprendergast@qpc.allscriptsdirect.net
  • Direct secure messaging: lprendergast277344@northwell.direct-ci.com

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1033272448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344026",
            "telephone_number": "718-531-4600",
            "fax_number": "718-531-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344026",
            "telephone_number": "718-531-4600",
            "fax_number": "718-531-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "LAURA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "228028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.