Individual provider Active NPI

Lauren Losicco Yunker, PA

  • Physician Assistant
  • Hyde Park, NY
National Provider Identifier
1629291521
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007364 Issued in NY
Practice address
4232 Albany Post Rd
Hyde Park, NY 12538-1766
Phone
(845) 229-8977
Fax
(845) 229-8930
NPI assigned
Apr 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007364 NY Primary

Addresses

Primary practice location

4232 Albany Post Rd
Hyde Park, NY 12538-1766

Mailing address

4232 Albany Post Rd
Hyde Park, NY 12538-1766
Phone (845) 229-8977

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
I20140327001323 NY Practitioner - Physician Assistant 3678704020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007364NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince Jan 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

144 Main St
Highland Fls, NY 10928
Phone (845) 446-4655

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lauren.yunker@hfmg.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629291521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381766",
            "telephone_number": "845-229-8977",
            "fax_number": "845-229-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381766",
            "telephone_number": "845-229-8977",
            "fax_number": "845-229-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNKER",
        "first_name": "LAUREN",
        "middle_name": "LOSICCO",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.