Lawrence Family Medical Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

084977 Issued in NY

Legal business name

LAWRENCE FAMILY MEDICAL PRACTICE, P.C.

Practice address

310 Broadway
Lawrence, NY 11559-1510

Phone

(516) 239-5540

Fax

(516) 239-1363

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Kurk, MDNPI 1992994701

Title

Doctor

Phone

(516) 239-5540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Kurk, MD

  • Family Medicine Physician
  • Lawrence, NY
  • NPI 1992994701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1124028907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591510",
            "telephone_number": "516-239-5540",
            "fax_number": "516-239-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591510",
            "telephone_number": "516-239-5540",
            "fax_number": "516-239-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE FAMILY MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "KURK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-239-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "084977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaine Landman, RN
• Sarah Laufer, MS
• Lawrence Cardiovascular Associates PC
• Lawrence Cedarhurst Rescue Inc
• Lawrence Dental,PC
• Lawrence Physical Therapy, P.C.
• Lawrence Ufsd
• Kerri Lebor
• Miriam Emma Leifer
• Leonard a Feiner MD PC

• Family Medicine Physician in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.