Individual provider Active NPI

Lauren Bongiorno

  • Health & Wellness Coach
  • Smithtown, NY
National Provider Identifier
1497333108
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
156 Landing Meadow Rd
Smithtown, NY 11787-1100
Phone
(631) 626-6377
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

156 Landing Meadow Rd
Smithtown, NY 11787-1100

Mailing address

156 Landing Meadow Rd
Smithtown, NY 11787-1100
Phone (631) 626-6377

Other identifiers 1

IdentifierTypeStateIssuer
0708OtherDONT HAVE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.laurenbongiorno.com

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

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1497333108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 LANDING MEADOW RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871100",
            "telephone_number": "631-626-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 LANDING MEADOW RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871100",
            "telephone_number": "631-626-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGIORNO",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONT HAVE",
            "identifier": "0708",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.laurenbongiorno.com",
            "affiliation": "N",
            "address_1": "156 Landing Meadow Rd",
            "city": "Smithtown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117871100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.