Individual provider Active NPI

Sylvana Lora, PA-C, MPAS

  • Physician Assistant
  • Commack, NY
National Provider Identifier
1497115687
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019549 Issued in NY
Practice address
118 Veterans Memorial Hwy Ste 109
Commack, NY 11725-3432
Phone
(631) 480-0344
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019549 NY Primary

Addresses

Primary practice location

118 Veterans Memorial Hwy Ste 109
Commack, NY 11725-3432

Mailing address

140 Parsons Ave # 2
Freeport, NY 11520-2506
Phone (516) 359-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019549NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bastien Wellness Medicine, PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

118 Veterans Memorial Hwy
Ste 109
Commack, NY 11725
Phone (631) 480-0344

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1497115687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PARSONS AVE # 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202506",
            "telephone_number": "516-359-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VETERANS MEMORIAL HWY STE 109",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253432",
            "telephone_number": "631-480-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "SYLVANA",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.