Active NPI
Nicholas Paul Lattanzio, NP
- Adult Health Nurse Practitioner
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 308842
- Practice address
- 18036 80TH Dr
Jamaica, NY 11432-1532 - Phone
- (347) 277-4001
- NPI assigned
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 308842 | NY | Primary |
Addresses
Primary practice location
18036 80TH Dr
Jamaica, NY 11432-1532
Mailing address
112 Wickham Rd
Garden City, NY 11530-2516
Phone (516) 322-4316
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Uniondale, NY 11556
Phone (718) 255-7368
Hospital & facility affiliations
- VNS of Ny Home Care Chha
- Girling Health Care of New York
- Americare Certified Special Services, Inc Chha
- Extended Home Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Lattanzio Nurse Practitioner in Adult Health PC | Adult Health | Current | Accepting new patients |
| Excel Medical PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Medical Care for You PC | Current | Accepting new patients |
Locations
3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807
1516 Oriental Blvd
Brooklyn, NY 11235
Phone (212) 342-9301
6711 164th St
Fresh Meadows, NY 11365
Phone (718) 762-4500
15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001
130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620
211 Lake Shore Rd
Ronkonkoma, NY 11779
Phone (516) 581-1476
626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1659906667
-
- Adult Health Nurse Practitioner
- Garden City, NY
- NPI 1295680700
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Family Medicine Physician
- Flushing, NY
- NPI 1003005083
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Brooklyn, NY
- NPI 1396836219
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
- Home Health Agency
- New York, NY
- NPI 1528059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1255819249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WICKHAM RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302516",
"telephone_number": "516-322-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18036 80TH DR",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321532",
"telephone_number": "347-277-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTANZIO",
"first_name": "NICHOLAS",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.