Individual provider Active NPI

Stephanie Lau, PA

  • Medical Physician Assistant
  • Flushing, NY
National Provider Identifier
1205340148
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
016063 Issued in NY
Practice address
13710 Franklin Ave Ste L3
Flushing, NY 11355-3842
Phone
(718) 358-0101
Fax
(718) 358-9991
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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 016063 NY Primary

Addresses

Primary practice location

13710 Franklin Ave Ste L3
Flushing, NY 11355-3842

Mailing address

13710 Franklin Ave Ste L3
Flushing, NY 11355-3842
Phone (718) 358-0101

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
I20260126000236 NY Practitioner - Physician Assistant 8426535063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Bowery
New York, NY 10013-4801

68 S Service Rd
Suite 100
Melville, NY 11747-2350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Summit Medical PC CurrentSince Dec 3, 2025 Accepting new patients
Insight Comprehensive Medical PC CurrentSince Dec 3, 2025 Accepting new patients
Flushing Medical Past Accepting new patients

Locations

40 Bowery
New York, NY 10013

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1205340148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE STE L3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "718-358-0101",
            "fax_number": "718-358-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE STE L3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "718-358-0101",
            "fax_number": "718-358-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.