Individual provider Active NPI

Laurie Jane Brucia, CNM

  • Midwife
  • New York, NY
National Provider Identifier
1063661973
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001504-1 Issued in NY
Practice address
Columbia University, Allen Hospital Division
5141 Broadway
New York, NY 10034
Phone
(212) 932-4200
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP1943082 FL
Advanced Practice Midwife 367A00000X 25ME00085801 NJ
Midwife 176B00000X F001504-1 NY Primary

Addresses

Primary practice location

Columbia University, Allen Hospital Division
5141 Broadway
New York, NY 10034

Mailing address

5 Kenneth Ave
North Bellmore, NY 11710-3038
Phone (347) 569-3758

Other practice location 1

5 Kenneth Ave
North Bellmore, NY 11710-3038
Phone (347) 569-3758

Other identifiers 1

IdentifierTypeStateIssuer
000425800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150317001410 NY Practitioner - Certified Nurse Midwife (CNM) 2668540964 Reassigns benefits to 5 organizations
I20160407000810 TX Practitioner - Certified Nurse Midwife (CNM) 2668540964 Reassigns benefits to 3 organizations
I20161028001438 PA Practitioner - Certified Nurse Midwife (CNM) 2668540964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001504-1NYMDMidwife
25ME00085801NJMDAdvanced Practice Midwife

Practice roles (18 of 22)

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Jan 11, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 1, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Nason Physician Practices LLC CurrentSince Sep 19, 2016 Accepting new patients
Nason Physician Practices LLC CurrentSince Sep 19, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 9, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 6, 2016 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Montefiore Medical Center CurrentSince Jun 11, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Mar 7, 2016 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Jan 11, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jun 11, 2023 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
University of Miami Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

111 E 210th St
Bronx, NY 10467

760 Broadway
Rm 2B230
Brooklyn, NY 11206

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807

752 Park Ave
Huntington, NY 11743
Phone (631) 271-9017

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

156 William St
New York, NY 10038
Phone (646) 962-4679

622 W 168th St
Ph 16
New York, NY 10032
Phone (212) 305-2463

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

300 Community Dr
Plandome, NY 11030

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

Networks

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

Interoperability endpoints

  • Direct secure messaging: laurie.brucia.1@10170.direct.athenahealth.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: lab9150@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1063661973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KENNETH AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117103038",
            "telephone_number": "347-569-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLUMBIA UNIVERSITY, ALLEN HOSPITAL DIVISION",
            "address_2": "5141 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "212-932-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Kenneth Ave",
            "address_purpose": "LOCATION",
            "city": "North Bellmore",
            "state": "NY",
            "postal_code": "117103038",
            "country_code": "US",
            "telephone_number": "347-569-3758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCIA",
        "first_name": "LAURIE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP1943082",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00085801",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001504-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000425800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.