Lorna Avila, MD
Individual provider Active NPI Psychiatry Physician · Staten Island, NY
NPI 1346250545 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346250545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 179949 (NY)
- Practice address
- 201 Bryson Ave
Staten Island, NY 10314-1922 - Phone
- (718) 477-2184
- Fax
- (718) 983-0348
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
201 Bryson Ave
Si, NY 10314-1922
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060925000106 | NY | Practitioner - Psychiatry | 3779588876 |
Reassigns benefits to 1 organization Practice locations: Staten Island, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current |
Accepting new patients | |
| Metro Community Health Centers, Inc. | Current |
Accepting new patients | |
| Michael T. Levy, M.D., P.C. | Past | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 179949 | NY | Yes |
Addresses
Primary practice location
201 Bryson Ave
Staten Island, NY 10314-1922
Mailing address
45 Hunter Ave
Staten Island, NY 10306-2509
Phone (718) 273-9724
Other providers in Staten Island, NY
- Edsel Lawrence Roxas Avelino
- Avenue U Podiatry,P.C.
- Angela Aversa
- Michaela Ann Aversa
- Attilio Antonio Avidano
- Victor P Avis
- Teresa Avissato-Tramell
- Justine Marie Avissato
- Michele Avitabile
- Noel Avitabile
All providers in Staten Island, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.