Individual provider Active NPI

Lauren M Morales, PA-C

  • Physician Assistant
  • North Bellmore, NY
National Provider Identifier
1356571558
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00406700 Issued in NJ
Practice address
825 Sterling St
North Bellmore, NY 11710-1215
Phone
(516) 860-6347
NPI assigned
Jul 22, 2009
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000670 DE
Physician Assistant 363A00000X 013852 NY
Physician Assistant 363A00000X 2732 CT
Physician Assistant 363A00000X 25MP00406700 NJ Primary

Addresses

Primary practice location

825 Sterling St
North Bellmore, NY 11710-1215

Mailing address

656 Shrewsbury Ave
Suite 300
Tinton Falls, NJ 07701-4964
Phone (516) 860-6347

Other practice location 1

1255 Raritan Rd Ste F4B
Clark, NJ 07066-1200
Phone (848) 206-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140304000188 NY Practitioner - Physician Assistant 9537214283 Reassigns benefits to 1 organization
I20170627000225 NJ Practitioner - Physician Assistant 9537214283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132

30 Prospect Ave
Hackensack, NJ 07601-1915

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 714-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013852NYMDMental Health Counselor
C5-0000670DEMDPhysician Assistant
25MP00406700NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Northern Westchester Hospital Association CurrentSince Feb 24, 2014 Accepting new patients
Northern Westchester Hospital Association CurrentSince Feb 24, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Northern Westchester Emergency Medical Associates PLLC Past Accepting new patients
Monty Leone Health Works Inc Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

400 E Main St
Fl 4
Mount Kisco, NY 10549
Phone (914) 242-8318

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: lauren.morales@direct.hackensackmeridian.org

Organizations & group practices 8

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 6

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1356571558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 SHREWSBURY AVE",
            "address_2": "SUITE 300",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014964",
            "telephone_number": "516-860-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 STERLING ST",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101215",
            "telephone_number": "516-860-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Raritan Rd Ste F4B",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661200",
            "country_code": "US",
            "telephone_number": "848-206-0072",
            "fax_number": "848-206-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000670",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013852",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2732",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00406700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.