Active NPI
Laura Ploetzke Adult Health Nurse Practitioner, PC
- Adult Health Nurse Practitioner
- Farmingdale, NY
National Provider Identifier
1629410865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300672
- Legal business name
- LAURA PLOETZKE ADULT HEALTH NURSE PRACTITIONER, PC
- Practice address
- 1 Merritt Rd
Farmingdale, NY 11735-1817 - Phone
- (516) 459-2939
- NPI assigned
- Jul 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Ploetzke, NP
- Title
- Owner
- Phone
- (516) 864-0040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F300672 | NY | Primary |
Addresses
Primary practice location
1 Merritt Rd
Farmingdale, NY 11735-1817
Mailing address
1 Merritt Rd
Farmingdale, NY 11735-1817
Phone (516) 864-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F300672-01 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 Boundary Ave
Ste 200
Massapequa, NY 11758
Phone (516) 755-2404
60 Queens St
Ste 100
Syosset, NY 11791
Phone (347) 267-0904
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Farmingdale, NY
- NPI 1356402473
-
- Pediatric Nurse Practitioner
- Valley Stream, NY
- NPI 1992285449
-
- Geriatric Medicine (Family Medicine) Physician
- Manhasset, NY
- NPI 1760268031
-
- Internal Medicine Physician
- Massapequa, NY
- NPI 1043371164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1629410865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERRITT RD",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351817",
"telephone_number": "516-864-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERRITT RD",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351817",
"telephone_number": "516-459-2939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA PLOETZKE ADULT HEALTH NURSE PRACTITIONER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-29",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "PLOETZKE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-864-0040",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "F300672-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.