Individual provider Active NPI

Jennifer Lee Laverdi, PA

  • Physician Assistant
  • New Rochelle, NY
National Provider Identifier
1104300136
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16 Guion PL
New Rochelle, NY 10801-5502
Phone
(914) 632-5000
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

16 Guion PL
New Rochelle, NY 10801-5502

Mailing address

24 Horizon Farms Dr
Warwick, NY 10990-2260
Phone (845) 820-2530

Other practice location 1

16 Guion Pl
New Rochelle, NY 10801-5502
Phone (914) 632-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190219000472 NY Practitioner - Physician Assistant 1052659984 Reassigns benefits to 4 organizations
I20221104002651 CT Practitioner - Physician Assistant 1052659984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

122 Maple Ave
Lowr Level
White Plains, NY 10601-4706
Phone (914) 681-2727

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022789NYMDOccupational Therapist
5867CTMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Jan 18, 2023 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant CurrentSince Nov 7, 2022 Accepting new patients

Locations

6 Greenwich Office Park
#40
Greenwich, CT 06831
Phone (203) 869-1145

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1104300136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HORIZON FARMS DR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902260",
            "telephone_number": "845-820-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-632-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Guion Pl",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015502",
            "country_code": "US",
            "telephone_number": "914-632-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERDI",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.