Individual provider Active NPI

Lynn M Raimo, NP

  • Adult Health Nurse Practitioner
  • Babylon, NY
National Provider Identifier
1164670238
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304932-1 Issued in NY
Practice address
38 James St
Babylon, NY 11702-2808
Phone
(631) 321-8337
Fax
(631) 321-9347
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304932-1 NY Primary

Addresses

Primary practice location

38 James St
Babylon, NY 11702-2808

Mailing address

38 James St
Babylon, NY 11702-2808
Phone (631) 321-8337

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
I20091130000513 NY Practitioner - Nurse Practitioner 3173662418 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F304932-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical CurrentSince Mar 29, 2015 Accepting new patients
Good Samaritan Hospital CurrentSince Mar 29, 2015 Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Oct 1, 2016 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients

Locations

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Organizations & group practices 4

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1164670238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 JAMES ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022808",
            "telephone_number": "631-321-8337",
            "fax_number": "631-321-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 JAMES ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022808",
            "telephone_number": "631-321-8337",
            "fax_number": "631-321-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMO",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304932-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.