Individual provider Active NPI

Laura Paduano, NP

  • Adult Health Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1457402331
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
302689 Issued in NY
Practice address
373 Nesconset Hwy
Suite 243
Hauppauge, NY 11788-2516
Phone
(631) 605-2525
Fax
(631) 761-6224
NPI assigned
Jan 16, 2007
Last updated
Aug 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 302689 NY Primary

Addresses

Primary practice location

373 Nesconset Hwy
Suite 243
Hauppauge, NY 11788-2516

Mailing address

228 Atlantic PL
Hauppauge, NY 11788-4439
Phone (631) 605-2525

Other identifiers 2

IdentifierTypeStateIssuer
A100082692OtherPTAN
03869041MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000025 NY Practitioner - Nurse Practitioner 1355512286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

228 Atlantic PL
Hauppauge, NY 11788-4439
Phone (631) 605-2525

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MJHS Medical Associates CurrentSince Oct 30, 2020 Accepting new patients
Office Visit Alternative, NP in Adult Health, PLLC Adult Health CurrentSince Jan 2, 2013 Accepting new patients

Locations

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

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 1

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1457402331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ATLANTIC PL",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884439",
            "telephone_number": "631-605-2525",
            "fax_number": "631-761-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 NESCONSET HWY",
            "address_2": "SUITE 243",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882516",
            "telephone_number": "631-605-2525",
            "fax_number": "631-761-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADUANO",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "302689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A100082692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03869041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.