Individual provider Active NPI

Clarissa Lau, PA-C, MSPAS

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1336788686
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024575 Issued in NY
Practice address
5604 7TH Ave Ste 1
Brooklyn, NY 11220-4660
Phone
(718) 360-7666
NPI assigned
Jan 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024575 NY Primary

Addresses

Primary practice location

5604 7TH Ave Ste 1
Brooklyn, NY 11220-4660

Mailing address

5604 7TH Ave Ste 1
Brooklyn, NY 11220-4660
Phone (718) 360-7666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214002029 NY Practitioner - Physician Assistant 2769818541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024575NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Atlantic Gastroenterology, P.C. PastSince Aug 25, 2024 Accepting new patients
Century Medical Dermatology PLLC PastSince Mar 20, 2025 Accepting new patients
Century Dermatology PC PastSince Oct 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clarissalau@mai.allscriptsdirect.net
  • Direct secure messaging: clau@directaddress.net

Organizations & group practices 5

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": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1336788686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 7TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204660",
            "telephone_number": "718-360-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 7TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204660",
            "telephone_number": "718-360-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "CLARISSA",
        "credential": "PA-C, MSPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.