Organization Active NPI

Laine N.P.- Adult Health Wellness Care P.C. Incorporated

  • Primary Care Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1225450364
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
199824 Issued in NY
Legal business name
LAINE N.P.- ADULT HEALTH WELLNESS CARE P.C. INCORPORATED
Practice address
10452 NW 48TH MNR
Coral Springs, FL 33076-1730
Phone
(516) 273-0163
NPI assigned
Jan 8, 2014
Organization subpart
Yes
Parent organization
LAINE ASSOCIATED INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Rosaire B Laine, APN-BCNPI 1275684144
Title
Ceo
Phone
(973) 220-8313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X F304165-1 NY
Primary Care Clinic/Center 261QP2300X 199824 NY Primary

Addresses

Primary practice location

10452 NW 48TH MNR
Coral Springs, FL 33076-1730

Mailing address

539 De Mott Ave
North Baldwin, NY 11510-1321
Phone (516) 223-6088

Other practice location 1

1840 E 14th St
Brooklyn, NY 11229-2800
Phone (516) 273-0163

Other practice location 2

539 De Mott Ave
North Baldwin, NY 11510-1321
Phone (516) 223-6088

Other identifiers 4

IdentifierTypeStateIssuer
1104861558OtherNYNPI
0469MedicaidNY
173000000XOtherNYTAXONOMY
0362301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251024000112 NY Part B Supplier - Clinic/Group Practice 6507388543 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Middle Village, NY

National Provider Directory

National Provider Directory

Locations

7907 Metropolitan Ave
Middle Vlg, NY 11379
Phone (347) 286-1383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1225450364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 DE MOTT AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101321",
            "telephone_number": "516-223-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 NW 48TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761730",
            "telephone_number": "516-273-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112292800",
            "country_code": "US",
            "telephone_number": "516-273-0163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 De Mott Ave",
            "address_purpose": "LOCATION",
            "city": "North Baldwin",
            "state": "NY",
            "postal_code": "115101321",
            "country_code": "US",
            "telephone_number": "516-223-6088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAINE N.P.- ADULT HEALTH WELLNESS CARE P.C. INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAINE ASSOCIATED INC",
        "enumeration_date": "2014-01-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ROSAIRE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-220-8313",
        "authorized_official_credential": "APN-BC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "F304165-1",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "199824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104861558",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "173000000X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.