Individual provider Active NPI

Lauren Michelle Sinclair, PA-C

  • Medical Physician Assistant
  • Rye, NY
National Provider Identifier
1164726386
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014574 Issued in NY
Practice address
33 Cedar St Ste 6
Rye, NY 10580-2031
Phone
(914) 251-9110
Fax
(914) 921-4877
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014574 NY Primary

Addresses

Primary practice location

33 Cedar St Ste 6
Rye, NY 10580-2031

Mailing address

57 Brambling LN
Voorhees, NJ 08043-1632
Phone (609) 313-3687

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
I20170929001214 NY Practitioner - Physician Assistant 0941575005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan L. Nelson, M.D. P.C.Group PAC ID 0648172585, 2 clinicians

Practice addresses (Care Compare)

33 Cedar St
Suite 6
Rye, NY 10580-2031
Phone (914) 251-9110

National Provider Directory

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

Organizations & group practices 1

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1164726386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BRAMBLING LN",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431632",
            "telephone_number": "609-313-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CEDAR ST STE 6",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802031",
            "telephone_number": "914-251-9110",
            "fax_number": "914-921-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.