Individual provider Active NPI

Lauren Misuraca, FNP

  • Family Nurse Practitioner
  • West Babylon, NY
National Provider Identifier
1639612815
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340458 Issued in NY
Practice address
900 Straight Path
West Babylon, NY 11704-3234
Phone
(631) 957-0066
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340458 NY Primary

Addresses

Primary practice location

900 Straight Path
West Babylon, NY 11704-3234

Mailing address

900 Straight Path
West Babylon, NY 11704-3234
Phone (631) 957-0066

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
I20170202000494 NY Practitioner - Nurse Practitioner 6204119068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caremed Primary and Urgent Care PCGroup PAC ID 8224353727, 21 clinicians

Practice addresses (Care Compare)

900 Straight Path
West Babylon, NY 11704-3234
Phone (631) 957-0066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340458NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC Family CurrentSince Dec 27, 2016 Accepting new patients

Locations

375 E Main St
Ste 26
Bay Shore, NY 11706
Phone (631) 665-2255

266 Middle Country Rd
Coram, NY 11727
Phone (631) 475-3900

1 E Roe Blvd
Patchogue, NY 11772
Phone (631) 475-3900

900 Straight Path
West Babylon, NY 11704
Phone (631) 957-0066

Organizations & group practices 1

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1639612815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STRAIGHT PATH",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043234",
            "telephone_number": "631-957-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STRAIGHT PATH",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043234",
            "telephone_number": "631-957-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISURACA",
        "first_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.