Organization Active NPI

On the Go NP in Adult Health

  • Adult Health Nurse Practitioner
  • Hicksville, NY
National Provider Identifier
1366153199
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ON THE GO NP IN ADULT HEALTH
Practice address
130 S Fordham Rd
Hicksville, NY 11801-6000
Phone
(516) 522-5500
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Laurie Lucas, DNP, NP-CNPI 1669785903
Title
Nurse Practitioner/ Ceo
Phone
(718) 413-8168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

130 S Fordham Rd
Hicksville, NY 11801-6000

Mailing address

442 S Oyster Bay Rd # 1020
Hicksville, NY 11801-3515
Phone (718) 413-8168

Other practice location 1

442 S Oyster Bay Rd # 1020
Hicksville, NY 11801-3515
Phone (718) 413-8168

National Provider Directory

National Provider Directory

Locations

442 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 522-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1366153199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 S OYSTER BAY RD # 1020",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013515",
            "telephone_number": "718-413-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S FORDHAM RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016000",
            "telephone_number": "516-522-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 S Oyster Bay Rd # 1020",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013515",
            "country_code": "US",
            "telephone_number": "718-413-8168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON THE GO NP IN ADULT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ CEO",
        "authorized_official_telephone_number": "718-413-8168",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.