Individual provider Active NPI

Lauren Sedlak, FNP-BC

  • Family Nurse Practitioner
  • Center Moriches, NY
National Provider Identifier
1164792248
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349790 Issued in NY
Practice address
504 Montauk Hwy Ste B
Center Moriches, NY 11934-2232
Phone
(631) 878-2222
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349790 NY Primary

Addresses

Primary practice location

504 Montauk Hwy Ste B
Center Moriches, NY 11934-2232

Mailing address

504 Montauk Hwy Ste B
Center Moriches, NY 11934-2232
Phone (631) 878-2222

Other practice location 1

223 Union Ave Ste 105
Holbrook, NY 11741-1806
Phone (212) 803-3339

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
I20221230000112 NY Practitioner - Nurse Practitioner 9133599574 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
Telehealth
Offers telehealth services
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians
Peconic Bay Primary Medical CareGroup PAC ID 7113817602, 72 clinicians

Practice addresses (Care Compare)

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

504 Main St
Suite B
Center Moriches, NY 11934-2232
Phone (631) 878-2222

97 Grand Ave
Massapequa, NY 11758-4905
Phone (212) 803-3339

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical Care PC Family CurrentSince Mar 17, 2024 Accepting new patients
Peconic Bay Primary Medical Care CurrentSince Oct 10, 2022 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

504 Montauk Hwy
Ste B
Ctr Moriches, NY 11934
Phone (631) 287-9477

233 Union Ave
Ste 105
Holbrook, NY 11741
Phone (631) 285-7311

496 County Road 111
Bldg B
Manorville, NY 11949
Phone (631) 405-3200

1228 E Main St
Ste A
Riverhead, NY 11901
Phone 63169643572

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

855 Montauk Hwy
Shirley, NY 11967
Phone (631) 651-4900

609 Hampton Rd
Ste 9
Southampton, NY 11968

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lsedlak26737@northwell.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1164792248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MONTAUK HWY STE B",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342232",
            "telephone_number": "631-878-2222",
            "fax_number": "631-878-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MONTAUK HWY STE B",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342232",
            "telephone_number": "631-878-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Union Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "117411806",
            "country_code": "US",
            "telephone_number": "212-803-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDLAK",
        "first_name": "LAUREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

Verify at the official NPI Registry.