Lorena McClure

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024861 Issued in NY

Practice address

77 Waverly Ave Apt 413
Patchogue, NY 11772-8301

Phone

(917) 202-0092

NPI assigned

Sep 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lorenamcclure@nslijmedgr.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Brookhaven Memorial Hospital Palliative Care Dept.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Patchogue, NY
  • NPI 1417232760
  Medicare reassignment
• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Long Island Community Hospital

  • Physician Assistant
  • Patchogue, NY
  • NPI 1487843090
  NPD

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1295385920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WAVERLY AVE APT 413",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728301",
            "telephone_number": "917-202-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WAVERLY AVE APT 413",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728301",
            "telephone_number": "917-202-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "LORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William MC Garry
• Barbara McArthur, MACCC-A
• Danielle Marie McBride, MS, CCC/SLP
• Marguerite McCabe, OTR
• Casey Caitlyn McCall, PA-C
• Nicole Danielle McGinnis
• Paul Joseph McGuinness, PA-C
• Meredith McIntyre
• Kaddegra McKoy
• Catherine B McLaughlin, RN

• Physician Assistant in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.

Verify at the official NPI Registry.