Individual provider Active NPI

Lauren Brooke Marks

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1396419719
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024182347 Issued in VA
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(804) 347-8635
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024182347 VA Primary

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

7330 Pickett Ave
Mechanicsville, VA 23111-1712
Phone (804) 347-8635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 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
I20220103001628 NY Practitioner - Nurse Practitioner 2769873611 Reassigns benefits to 1 organization
I20221214002144 VA Practitioner - Nurse Practitioner 2769873611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Nov 1, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2021 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Mar 1, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Nov 1, 2022 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Nov 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2023 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

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 2

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1396419719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 PICKETT AVE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111712",
            "telephone_number": "804-347-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "804-347-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "LAUREN",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024182347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.