Individual provider Active NPI

Laura Michelle Davids, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Ronkonkoma, NY
National Provider Identifier
1356602767
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
280189 Issued in NY
Practice address
750 Hawkins Ave
Suite 7
Ronkonkoma, NY 11779-2230
Phone
(631) 737-0055
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 280189 NY Primary

Addresses

Primary practice location

750 Hawkins Ave
Suite 7
Ronkonkoma, NY 11779-2230

Mailing address

150 Vets Hwy Unit 141
Commack, NY 11725-6408
Phone (516) 225-4990

Other names 1

  • Dr. Laura Baronoff Former name

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
I20161212001821 NY Practitioner - Physical Medicine and Rehabilitation 3870873789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280189NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd J. Maltese, D.O., P.C. CurrentSince Oct 27, 2016 Accepting new patients
Laura Davids MD PC Physical Medicine & Rehabilitation CurrentSince May 1, 2019 Accepting new patients

Locations

150 Vets Hwy
Unit 141
Commack, NY 11725
Phone (646) 733-4737

650 Hawkins Ave
Ste 7
Ronkonkoma, NY 11779
Phone (631) 737-0055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIEEAD

Organizations & group practices 2

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": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1356602767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VETS HWY UNIT 141",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256408",
            "telephone_number": "516-225-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAWKINS AVE",
            "address_2": "SUITE 7",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792230",
            "telephone_number": "631-737-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDS",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "280189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BARONOFF",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.