Active NPI
Lajuan Bethune Booker, FNP
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339938
- Practice address
- 3215 Fulton St
Brooklyn, NY 11208-1907 - Phone
- (833) 244-7111
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339938 | NY | |
| Family Nurse Practitioner | 363LF0000X | F339938 | NY | Primary |
Addresses
Primary practice location
3215 Fulton St
Brooklyn, NY 11208-1907
Mailing address
24 Knights Cir
Newburgh, NY 12550-2422
Phone (917) 273-7686
Other practice location 1
147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339938 | NY | MD | Family Nurse Practitioner |
| F339938 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Nyc Medical Doctor P.C. | Current | Accepting new patients | |
| Health Shared Physicians, PLLC | Current | Accepting new patients |
Locations
699 Stanley Ave
Brooklyn, NY 11207
Phone (347) 689-8880
979 Fulton St
Brooklyn, NY 11238
Phone (718) 857-1200
76 Belmont Ave
Brooklyn, NY 11212
Phone (347) 754-6012
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1013576552
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1831489798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1437522307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 KNIGHTS CIR",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502422",
"telephone_number": "917-273-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112081907",
"telephone_number": "833-244-7111"
}
],
"practiceLocations": [
{
"address_1": "147 Lake St",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125505263",
"country_code": "US",
"telephone_number": "845-563-8000",
"fax_number": "845-534-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETHUNE BOOKER",
"first_name": "LAJUAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339938",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.