Active NPI
Brooke Lacamera
- Specialist
- Seaford, NY
National Provider Identifier
1306192448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1150252
- Practice address
- 3645 Bayview St
Seaford, NY 11783-3342 - Phone
- (516) 428-8179
- NPI assigned
- Jul 26, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1150252 | NY | Primary |
Addresses
Primary practice location
3645 Bayview St
Seaford, NY 11783-3342
Mailing address
3645 Bayview St
Seaford, NY 11783-3342
Phone (516) 428-8179
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Seaford |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150252 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1306192448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 BAYVIEW ST",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117833342",
"telephone_number": "516-428-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 BAYVIEW ST",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117833342",
"telephone_number": "516-428-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACAMERA",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2022-04-04",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1150252",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Seaford",
"affiliation": "N",
"address_1": "3645 Bayview St",
"city": "Seaford",
"state": "NY",
"country_code": "US",
"postal_code": "117833342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seaford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.