Individual provider Active NPI

Lauren Grace Fallon, AGACNP

  • Acute Care Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1508632365
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
432739 Issued in NY
Practice address
63 Dartmouth St
Garden City, NY 11530-5126
Phone
(516) 509-6480
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 432739 NY Primary

Addresses

Primary practice location

63 Dartmouth St
Garden City, NY 11530-5126

Mailing address

63 Dartmouth St
Garden City, NY 11530-5126
Phone (516) 509-6480

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (516) 509-6480

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
I20240927001346 NY Order and Referring Only - Nurse Practitioner 6507397858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
432739NYMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lwilliams229951@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1508632365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 DARTMOUTH ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305126",
            "telephone_number": "516-509-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 DARTMOUTH ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305126",
            "telephone_number": "516-509-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "516-509-6480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON",
        "first_name": "LAUREN",
        "middle_name": "GRACE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "432739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.