Active NPI
Lorraine A Von Eeden, RNP
- Pediatric Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 380158
- Practice address
- Cham
3415 Bainbridge Avenue
Bronx, NY 10467 - Phone
- (718) 741-2450
- NPI assigned
- Nov 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 338363 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 380158 | NY | Primary |
Addresses
Primary practice location
Cham
3415 Bainbridge Avenue
Bronx, NY 10467
Mailing address
1 Lisa CT
Yorktown Heights, NY 10598-6600
Phone (718) 741-2450
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338363 | NY | MD | Family Nurse Practitioner |
| 380158 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
456 White Plains Rd
Bronx, NY 10473
Phone (718) 617-5046
111 E 210th St
Bronx, NY 10467
1110 Boston Rd
Bronx, NY 10456
Phone (718) 860-2515
730 Concourse Vlg W
Bronx, NY 10451
Phone (718) 292-7204
1600 Webster Ave
Bronx, NY 10457
Phone (718) 295-5180
1621 Eastchester Rd
Bronx, NY 10461
500 E Fordham Rd
Bronx, NY 10458
Phone (718) 329-1276
1449 Shakespeare Ave
Bronx, NY 10452
Phone (332) 244-8055
502 Morris Ave
Bronx, NY 10451
Phone (718) 401-6030
240 E 172nd St
Bronx, NY 10457
Phone (718) 293-9569
2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000
250 Thurman Munson Way
Rm 236
Bronx, NY 10451
Phone (718) 401-6483
1501 Jerome Ave
Bronx, NY 10452
Phone (718) 294-8111
1180 Tinton Ave
Bronx, NY 10456
Phone (718) 842-8133
3961 Hillman Ave
Bronx, NY 10463
Phone (718) 548-3451
1619 Boston Rd
Bronx, NY 10460
Phone (718) 589-1590
701 Saint Anns Ave
Bronx, NY 10455
Phone (718) 402-7618
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
3000 E Tremont Ave
Bronx, NY 10461
Phone (718) 430-6375
1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000
579 Warburton Ave
Yonkers, NY 10701
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- lvoneeden1369048@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Student Health Clinic/Center
- Bronx, NY
- NPI 1518433440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1609946805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LISA CT",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105986600",
"telephone_number": "718-741-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHAM",
"address_2": "3415 BAINBRIDGE AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-741-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON EEDEN",
"first_name": "LORRAINE",
"middle_name": "A",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "338363",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "380158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.