Individual provider Active NPI

Rosaire Laine, NP

  • Adult Health Nurse Practitioner
  • East Meadow, NY
National Provider Identifier
1275684144
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11010650 Issued in FL
Practice address
2376 Hempstead Tpke
East Meadow, NY 11554-2030
Phone
(516) 273-0163
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11010650 FL Primary
Adult Health Nurse Practitioner 363LA2200X 304165 NY

Addresses

Primary practice location

2376 Hempstead Tpke
East Meadow, NY 11554-2030

Mailing address

10452 NW 48TH MNR
Coral Springs, FL 33076-1730
Phone (516) 273-0163

Other practice location 1

10452 NW 48th Mnr
Coral Springs, FL 33076-1730
Phone (516) 273-0163

Other identifiers 2

IdentifierTypeStateIssuer
03641756MedicaidNY
0362301MedicaidNJ

Other names 1

  • Mrs. Rosaire Laine Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131127000319 NY Practitioner - Nurse Practitioner 1759517535 Reassigns benefits to 1 organization
I20250319000886 FL Practitioner - Nurse Practitioner 1759517535

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1840 E 14TH St
Brooklyn, NY 11229-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010650FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laine N.P.- Adult Health Wellness Care P.C. Incorporated CurrentSince Jan 30, 2025 Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients

Locations

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1275684144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10452 NW 48TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761730",
            "telephone_number": "516-273-0163",
            "fax_number": "866-697-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542030",
            "telephone_number": "516-273-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10452 NW 48th Mnr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330761730",
            "country_code": "US",
            "telephone_number": "516-273-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAINE",
        "first_name": "ROSAIRE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11010650",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03641756",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSAIRE",
            "last_name": "LAINE",
            "prefix": "MRS.",
            "credential": "ANP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.