Individual provider Active NPI

Lewis H Loquasto, FNP-BC, FMHPNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1639384910
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341323 Issued in NY
Practice address
595 Seneca Pkwy
Rochester, NY 14613-1019
Phone
(585) 719-0779
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003520 NY
Registered Nurse 163W00000X 630632 NY
Family Nurse Practitioner 363LF0000X 341323 NY Primary

Addresses

Primary practice location

595 Seneca Pkwy
Rochester, NY 14613-1019

Mailing address

595 Seneca Pkwy
Rochester, NY 14613-1019
Phone (585) 719-0779

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
I20171025003438 NY Order and Referring Only - Nurse Practitioner 9234405887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
630632NYMDRegistered Nurse
003520NYMDAthletic Trainer
341323NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1639384910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SENECA PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131019",
            "telephone_number": "585-719-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SENECA PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131019",
            "telephone_number": "585-719-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOQUASTO",
        "first_name": "LEWIS",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "FNP-BC, FMHPNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003520",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "630632",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.