Individual provider Active NPI

Lubisley La Torre Hernandez

  • Family Nurse Practitioner
  • Far Rockaway, NY
National Provider Identifier
1609462761
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354845-01 Issued in NY
Practice address
711B Seagirt Ave
Far Rockaway, NY 11691-5730
Phone
(718) 831-2755
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 F354845-01 NY Primary

Addresses

Primary practice location

711B Seagirt Ave
Far Rockaway, NY 11691-5730

Mailing address

340 NW 132ND CT
Miami, FL 33182-1657

Other practice location 1

340 NW 132nd Ct
Miami, FL 33182-1657
Phone (210) 665-7491

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
I20251217001342 NY Practitioner - Nurse Practitioner 7315432499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354845NYMDRegistered Nurse
11009843FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates PC CurrentSince Oct 2, 2025 Accepting new patients

Locations

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

711B Seagirt Ave
Far Rockaway, NY 11691
Phone (718) 327-4300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1609462761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NW 132ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711B SEAGIRT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915730",
            "telephone_number": "718-831-2755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 NW 132nd Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331821657",
            "country_code": "US",
            "telephone_number": "210-665-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA TORRE HERNANDEZ",
        "first_name": "LUBISLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354845-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.