Individual provider Active NPI

Priscilla Lamura, FNP

  • Family Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1124749130
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349787 Issued in NY
Practice address
100 Maple Ave
Smithtown, NY 11787-3519
Phone
(631) 364-1700
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 726855 NY
Family Nurse Practitioner 363LF0000X 349787 NY Primary

Addresses

Primary practice location

100 Maple Ave
Smithtown, NY 11787-3519

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

78 Old Country Rd
Westhampton, NY 11977-1219
Phone (872) 231-3162

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230303000708 NY Practitioner - Nurse Practitioner 2961875455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smithtown Primary Medical Care, P.C.Group PAC ID 2163609579, 3 clinicians

Practice addresses (Care Compare)

100 Maple Ave
Smithtown, NY 11787-3519
Phone 631265767114

78 Old Country Rd
Westhampton, NY 11977-1219
Phone (201) 654-6397

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
726855NYMDRegistered Nurse
349787NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smithtown Primary Medical Care, P.C. CurrentSince Mar 1, 2023 Accepting new patients
National Health Rehabilitation LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

100 Maple Ave
Smithtown, NY 11787
Phone (631) 265-7671

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

78 Old Country Rd
Westhampton, NY 11977
Phone (631) 288-0101

Organizations & group practices 2

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1124749130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873519",
            "telephone_number": "631-364-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Westhampton",
            "state": "NY",
            "postal_code": "119771219",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMURA",
        "first_name": "PRISCILLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "726855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.