Deborah Ann Lamendola, MS, APRN, BC, CWCN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F300583-1 Issued in NY

Practice address

5225 Nesconset Hwy Ste 53
BLDG. 12
Port Jefferson Station, NY 11776-2061

Phone

(631) 474-4590

Fax

(631) 474-4594

NPI assigned

Feb 16, 2010

Last updated

Feb 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• John T Mather Memorial Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1750740437
  NPD (past)
• John T. Mather Memorial Hospital

  • Critical Care Medicine (Internal Medicine) Physician
  • Port Jefferson, NY
  • NPI 1467249334
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1568784775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 PINE AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796546",
            "telephone_number": "631-585-4531",
            "fax_number": "631-474-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY STE 53",
            "address_2": "BLDG. 12",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762061",
            "telephone_number": "631-474-4590",
            "fax_number": "631-474-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMENDOLA",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN, BC, CWCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300583-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Lagadinos
• Karen Ann Lago-Fairey, LCSW
• Lenore Lamanna, ANP-BC
• Diane Lamarco, M.S., CCC-SLP
• Jenny Rose Lambert
• Jennifer Lamm, OTR/L
• Debra Ann Lancaster
• Julia Larin, LCSW, CASAC
• Amanda Latona
• Susan Mary Laudato, R.N.

• Adult Health Nurse Practitioner in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.