Individual provider Active NPI

Laura G. Carbone, MD

  • Nephrology Physician
  • Plattsburgh, NY
National Provider Identifier
1245235571
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
163106-1 Issued in NY
Practice address
159 Margaret St
Ste 600
Plattsburgh, NY 12901-1883
Phone
(518) 563-2057
Fax
(518) 563-2094
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 163106-1 NY Primary

Addresses

Primary practice location

159 Margaret St
Ste 600
Plattsburgh, NY 12901-1883

Mailing address

159 Margaret St
Ste 600
Plattsburgh, NY 12901-1883
Phone (518) 563-2057

Other identifiers 1

IdentifierTypeStateIssuer
01069992MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000069 NY Practitioner - NephrologyPractitioner - Internal Medicine 7810173911 Reassigns benefits to 1 organization
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Stetson Ave
Plattsburgh, NY 12901-1649

34 Macdonough St
Plattsburgh, NY 12901-3028
Phone (518) 561-4552

Hospital & facility affiliations

  • H.K. Freedman Renal Center Dialysis facility, Plattsburgh, NY, CCN 332702
  • Massena Dialysis Center Dialysis facility, Massena, NY, CCN 332717
  • Hastings Hemodialysis Center Dialysis facility, Malone, NY, CCN 332715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163106-1NYMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: laura.carbone.1@17615.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1245235571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST",
            "address_2": "STE 600",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011883",
            "telephone_number": "518-563-2057",
            "fax_number": "518-563-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST",
            "address_2": "STE 600",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011883",
            "telephone_number": "518-563-2057",
            "fax_number": "518-563-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "LAURA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "163106-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01069992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.