Individual provider Active NPI

Lusty Jean Biney, PA-C

  • Medical Physician Assistant
  • Lebanon, PA
National Provider Identifier
1205898293
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA051263 Issued in PA
Practice address
1700 S Lincoln Ave
Room 116
Lebanon, PA 17042-7529
Phone
(717) 228-5913
Fax
(717) 228-6061
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MA051263 PA Primary

Addresses

Primary practice location

1700 S Lincoln Ave
Room 116
Lebanon, PA 17042-7529

Mailing address

1767 Ashton Dr
Lebanon, PA 17046-1856
Phone (717) 272-6621

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
I20260601000238 NY Practitioner - Physician Assistant 3870765951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Medical Care PLLCGroup PAC ID 5698934446, 8 clinicians

Practice addresses (Care Compare)

11506 Beach Channel Dr
Suite 101
Rockaway Park, NY 11694-2113
Phone (718) 474-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007584NYMDMental Health Counselor
MA051263PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Royal Care Current Accepting new patients

Organizations & group practices 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205898293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 ASHTON DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170461856",
            "telephone_number": "717-272-6621",
            "fax_number": "717-228-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S LINCOLN AVE",
            "address_2": "ROOM 116",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427529",
            "telephone_number": "717-228-5913",
            "fax_number": "717-228-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINEY",
        "first_name": "LUSTY",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.