Individual provider Active NPI

Lorraine A Von Eeden, RNP

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1609946805
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
380158 Issued in NY
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

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002503 NY Practitioner - Nurse Practitioner 6305167735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338363NYMDFamily Nurse Practitioner
380158NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince May 1, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Nov 14, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Nov 14, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.