NPIMap

Individual provider Active NPI

Lauren Fiorito Audibert, MMS, PA-C

  • Medical Physician Assistant
  • Norwalk, CT
National Provider Identifier
1447514880
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2837 Issued in CT
Practice address
30 Stevens St
Norwalk, CT 06850-3859
Phone
(203) 852-2278
Fax
(203) 855-3555
NPI assigned
Jun 29, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015679 NY
Medical Physician Assistant 363AM0700X 2837 CT Primary

Addresses

Primary practice location

30 Stevens St
Norwalk, CT 06850-3859

Mailing address

30 Stevens St
Norwalk, CT 06850-3859
Phone (203) 852-2278

Other practice location 1

10 E 102nd St
New York, NY 10029-6030
Phone (212) 241-5656

Other names 1

  • Lauren Fiorito Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160111002630 NY Practitioner - Physician Assistant 5092938167 Reassigns benefits to 1 organization
I20180112002096 CT Practitioner - Physician Assistant 5092938167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 546-3377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2837CTMDProfessional Counselor
015679NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2015 Accepting new patients

Locations

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

10 E 102nd St
New York, NY 10029
Phone (212) 241-5656

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Organizations & group practices 4

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 6

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447514880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STEVENS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503859",
            "telephone_number": "203-852-2278",
            "fax_number": "203-855-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STEVENS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503859",
            "telephone_number": "203-852-2278",
            "fax_number": "203-855-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E 102nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296030",
            "country_code": "US",
            "telephone_number": "212-241-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUDIBERT",
        "first_name": "LAUREN",
        "middle_name": "FIORITO",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015679",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "FIORITO",
            "credential": "MMS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.