Individual provider Active NPI

Lauren Ann Giustra, MD

  • Obstetrics & Gynecology Physician
  • Rome, NY
National Provider Identifier
1356444160
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
202957 Issued in NY
Practice address
107 East Chestnut Street
Rome, NY 13440
Phone
(315) 334-9663
Fax
(315) 334-1194
NPI assigned
Sep 7, 2006
Last updated
Sep 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 202957 NY Primary

Addresses

Primary practice location

107 East Chestnut Street
Rome, NY 13440

Mailing address

107 East Chestnut Street
Rome, NY 13440
Phone (315) 334-9663

Other identifiers 1

IdentifierTypeStateIssuer
01681323MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140415000566 NY Practitioner - Obstetrics/Gynecology 8729210349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohawk Valley Womens Health Associates LLPGroup PAC ID 4587896105, 2 clinicians

Practice addresses (Care Compare)

107 E Chestnut St
Suite 101
Rome, NY 13440-2834
Phone (315) 334-9663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202957NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Medical Practice PC CurrentSince Oct 14, 2018 Accepting new patients
Mohawk Valley Womens Health Associates LLP Obstetrics & Gynecology CurrentSince Aug 1, 1996 Accepting new patients
Radiation Oncology Services PC PastSince Sep 1, 2000 Accepting new patients

Locations

1 Paris Rd
New Hartford, NY 13413
Phone (315) 732-1981

107 E Chestnut St
Rome, NY 13440
Phone (315) 334-9663

107 E Chestnut St
Ste 101
Rome, NY 13440
Phone (315) 334-9663

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

7900 Turin Rd
Ste 2
Rome, NY 13440
Phone (315) 338-7284

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1356444160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EAST CHESTNUT STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-334-9663",
            "fax_number": "315-334-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EAST CHESTNUT STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-334-9663",
            "fax_number": "315-334-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUSTRA",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "202957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01681323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.