Active NPI
Marita Florini, APRN BC
- Primary Care Nurse Practitioner
- Vestal, NY
National Provider Identifier
1255312393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 341523
- Practice address
- 3101 Shippers Road Suite 202
Lourded Primary Care
Vestal, NY 13850 - Phone
- (607) 251-2130
- Fax
- (607) 754-5508
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 341523 | NY | Primary |
Addresses
Primary practice location
3101 Shippers Road Suite 202
Lourded Primary Care
Vestal, NY 13850
Mailing address
3101 Shippers Road Suite 202
Vestal, NY 13850
Phone (607) 584-9488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02146867 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marita.florini@direct.lourdes.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341523 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Tier Pathology Associates, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
500 5th Ave
Owego, NY 13827
Phone (607) 687-1122
3101 Shippers Rd
Ste 202
Vestal, NY 13850
Phone (607) 584-9488
Interoperability endpoints
- mflorini200264@direct-guthrie.org
- maflorini@hiemail.healtheconnections.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1255312393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SHIPPERS ROAD SUITE 202",
"city": "VESTAL",
"state": "NY",
"postal_code": "13850",
"telephone_number": "607-584-9488",
"fax_number": "607-754-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SHIPPERS ROAD SUITE 202",
"address_2": "LOURDED PRIMARY CARE",
"city": "VESTAL",
"state": "NY",
"postal_code": "13850",
"telephone_number": "607-251-2130",
"fax_number": "607-754-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORINI",
"first_name": "MARITA",
"credential": "APRN BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "341523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02146867",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marita.florini@direct.lourdes.com",
"affiliation": "N",
"endpointDescription": "Lourdes Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3101 Shippers Road Suite 202",
"address_2": "Lourded Primary Care",
"city": "Vestal",
"state": "NY",
"country_code": "US",
"postal_code": "13850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.