Mette Larsen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200286 Issued in NY

Practice address

2248 Roanoke Ave
Riverhead, NY 11901-1822

Phone

(917) 572-9745

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• South Beach Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1699872499
  NPD (past)
• Wellwood Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1457454902
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1205947074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211435",
            "telephone_number": "631-424-2342",
            "fax_number": "877-991-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011822",
            "telephone_number": "917-572-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "METTE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Dorothy Lagnena, MS CCC-SLP
• Rachelmarie Lambertson
• Mary Jean Lannerd, CPHT
• Rogelio S Lao, MD
• Tami Dawn Lapp, OD
• Las Americas Farmacia Latina Inc (Las Americas Pharmacy)
• Roseann Lasala
• Chris E Lascarides, M.D.
• Fozia Lashari
• Kate Lastihenos, PA

• Family Medicine Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.