Lori Loretz

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

20 Rolling Hill Dr
Patchogue, NY 11772-6514

Phone

(631) 241-8735

Fax

(631) 286-2364

NPI assigned

Jan 13, 2022

Reactivated

Feb 22, 2022

Last updated

Mar 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1154072924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROLLING HILL DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117726514",
            "telephone_number": "631-241-8735",
            "fax_number": "631-286-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ROLLING HILL DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117726514",
            "telephone_number": "631-241-8735",
            "fax_number": "631-286-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORETZ",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Community Hospital at NYU Langone Health (Long Island Community Hospital)
• Long Island Community Hospital at NYU Langone Health (Long Island Community Hospital)
• Long Island Pediatrics of Patchogue PC
• Long Island Surgery P.C.
• Ishica Lopez-Ayala, RN
• Carolyn Losse
• Elison Louis, RPH
• Michele Paula Lubin, M.S., R.D., C.D.N.
• Nicole Johanna Lucero
• Rachel Lueders, PA-C

• Early Intervention Provider Agency in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.