Active NPI
Laura Lennon, M.D.
- Cardiovascular Disease Physician
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 200075
- Practice address
- 1916 Union Blvd
Bay Shore, NY 11706-7921 - Phone
- (631) 666-2290
- Fax
- (631) 666-2283
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 200075 | NY | Primary |
Addresses
Primary practice location
1916 Union Blvd
Bay Shore, NY 11706-7921
Mailing address
1916 Union Blvd
Bay Shore, NY 11706-7921
Phone (631) 666-2290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02263954 | Medicaid | NY |
Other names 1
- Laura Coudrey
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | SMITHTOWN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225
1400 29TH St S
Great Falls, MT 59405-5315
Phone (406) 454-2171
1509 29TH St S
Great Falls, MT 59405-5363
Phone (406) 771-3500
1916 Union Blvd
Bay Shore, NY 11706-7921
Phone 6316662290176
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000
Hospital & facility affiliations
- St Catherine of Siena Hospital
- Great Falls Clinic Hospital
- Good Samaritan Hospital Medical Center
- Benefis Hospitals Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.04 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiere Cardiology PLLC | Cardiovascular Disease | Current | Accepting new patients |
| North Shore-Lij Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Cardiovascular Disease | Current | Accepting new patients |
| Laura Coudrey, M.D., P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
1916 Union Blvd
Bay Shore, NY 11706
Phone (631) 666-2290
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
269 E Main St
Bldg D
Smithtown, NY 11787
Phone (631) 361-2121
307 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 265-4485
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lauracoudrey@pc.allscriptsdirect.net
Organizations & group practices 9
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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Bay Shore, NY
- NPI 1184858151
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1386665644
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Bay Shore, NY
- NPI 1376584672
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1477593978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 UNION BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067921",
"telephone_number": "631-666-2290",
"fax_number": "631-666-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 UNION BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067921",
"telephone_number": "631-666-2290",
"fax_number": "631-666-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "200075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02263954",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "SMITHTOWN",
"affiliation": "N",
"address_1": "1916 Union Blvd",
"city": "Bay Shore",
"state": "NY",
"country_code": "US",
"postal_code": "117067921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "COUDREY",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.