NPIMap

Individual provider Active NPI

Cherese M Laporta, D.O.

  • Family Medicine Physician
  • Patchogue, NY
National Provider Identifier
1437206943
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
184780 Issued in NY
Practice address
107 N Ocean Ave
Suite G
Patchogue, NY 11772-2012
Phone
(631) 654-5004
Fax
(631) 654-5048
NPI assigned
Jan 5, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 184780 NY Primary

Addresses

Primary practice location

107 N Ocean Ave
Suite G
Patchogue, NY 11772-2012

Mailing address

107 N Ocean Ave
Suite G
Patchogue, NY 11772-2012
Phone (631) 654-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000868 NY Practitioner - Family Practice 7517990492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 N Ocean Ave
Suite G
Patchogue, NY 11772-2012
Phone (631) 654-5004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184780NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vytaliz Medical CurrentSince Aug 1, 2022 Accepting new patients
Cherese M. Laporta D.O., PLLC Family Medicine CurrentSince Feb 6, 2001 Accepting new patients

Locations

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

107 N Ocean Ave
Ste G
Patchogue, NY 11772
Phone (631) 654-5004

Interoperability endpoints

  • Direct secure messaging: claporta501388@nyumc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1437206943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N OCEAN AVE",
            "address_2": "SUITE G",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-654-5004",
            "fax_number": "631-654-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N OCEAN AVE",
            "address_2": "SUITE G",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-654-5004",
            "fax_number": "631-654-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPORTA",
        "first_name": "CHERESE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.