Active NPI
Ekaete Lawal, NP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1245537596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336510
- Practice address
- 400 E 34TH St
Rusk 607
New York, NY 10016-4901 - Phone
- (212) 263-5072
- NPI assigned
- Feb 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404051-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | 336510 | NY | Primary |
Addresses
Primary practice location
400 E 34TH St
Rusk 607
New York, NY 10016-4901
Mailing address
400 E 34TH St
Rusk 607
New York, NY 10016-4901
Phone (212) 263-5072
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F404051-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Wellness NP in Psychiatry and Family Health PLLC | Family | Current | Accepting new patients |
| Synergy Health Medical Solutions PC | Current | Accepting new patients | |
| House Calls Medical Group | Past | Accepting new patients |
Locations
110 Jericho Tpke
Ste 212
Floral Park, NY 11001
Phone (516) 263-2375
95 Clinton St
Hempstead, NY 11550
Phone (516) 292-0800
9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- eekpo675129@nychhc.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Hempstead, NY
- NPI 1861821787
-
- Psychiatric/Mental Health Nurse Practitioner
- Floral Park, NY
- NPI 1154153211
Family
-
- Internal Medicine Physician
- New York, NY
- NPI 1518219732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1245537596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 34TH ST",
"address_2": "RUSK 607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164901",
"telephone_number": "212-263-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 34TH ST",
"address_2": "RUSK 607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164901",
"telephone_number": "212-263-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWAL",
"first_name": "EKAETE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-23",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F404051-01",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.