Active NPI
Lauren Lacivita, D.O.
- Emergency Medicine Physician
- Wilton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 55839
- Practice address
- 30 Danbury Rd
Wilton, CT 06897-4457 - Phone
- (203) 563-3500
- NPI assigned
- May 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101019742 | MI | |
| Emergency Medicine Physician | 207P00000X | 282994 | NY | |
| Emergency Medicine Physician | 207P00000X | 55839 | CT | Primary |
Addresses
Primary practice location
30 Danbury Rd
Wilton, CT 06897-4457
Mailing address
1290 Silas Deane Highway
HHC - Cvo
Wethersfield, CT 06109-4337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
677 Connecticut Ave
Norwalk, CT 06854-1645
Phone (475) 210-3350
7365 Main St
Suite 7
Stratford, CT 06614-1300
Phone (203) 696-3505
77 Quaker Ridge Rd
Suite 212
New Rochelle, NY 10804-2821
Phone (201) 483-3760
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.6 of 100
- Quality
- 89.17
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.05 of 100
- Quality
- 83.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019742 | MI | MD | Emergency Medicine Physician |
| 282994 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| St. Vincents Urgent Care LLC | Current | Accepting new patients | |
| Malina Medical Services PC | Emergency Medicine | Current | Accepting new patients |
| St. Vincents Urgent Care LLC | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
Locations
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
30 Danbury Rd
Wilton, CT 06897
Phone (203) 665-9729
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
77 Quaker Ridge Rd
Ste 212
New Rochelle, NY 10804
Phone (201) 483-3760
7 W 96th St
Apt 1H
New York, NY 10025
Phone (201) 483-3760
300 Community Dr
Plandome, NY 11030
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- lauren.sokolik@xdr.hhchealthdirect.org
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Fairfield, CT
- NPI 1912305483
-
- Emergency Medicine Physician
- New York, NY
- NPI 1932899192
-
- Psychiatry Physician
- Port Jefferson Station, NY
- NPI 1376642371
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1689614109
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1083910962
-
- Internal Medicine Physician
- Trumbull, CT
- NPI 1043852569
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1104913748
-
- Critical Care Medicine (Internal Medicine) Physician
- Port Jefferson, NY
- NPI 1467249334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1558620807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HIGHWAY",
"address_2": "HHC - CVO",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 DANBURY RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068974457",
"telephone_number": "203-563-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACIVITA",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101019742",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "282994",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "55839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.