Individual provider Active NPI

Joy Lariviere, FNP

  • Family Nurse Practitioner
  • Newburgh, NY
National Provider Identifier
1497297808
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F-340902 Issued in NY
Practice address
407B Gidney Ave
Newburgh, NY 12550-3702
Phone
(845) 561-7075
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F-340902 NY Primary

Addresses

Primary practice location

407B Gidney Ave
Newburgh, NY 12550-3702

Mailing address

407 Gidney Ave Suite B
Newburgh, NY 12550-3741
Phone (845) 561-7075

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
I20190220003091 NY Practitioner - Nurse Practitioner 6709124555 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F-340902NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman MD PLLC CurrentSince Sep 8, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

965 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 235-8264

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1497297808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GIDNEY AVE SUITE B",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503741",
            "telephone_number": "845-561-7075",
            "fax_number": "845-561-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407B GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503702",
            "telephone_number": "845-561-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVIERE",
        "first_name": "JOY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-340902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.