Lori L Roughton, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

30306135 Issued in NY

Practice address

33 Montauk Hwy
Box 1555
Quogue, NY 11959-4000

Phone

(631) 653-6000

Fax

(631) 653-8310

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lori.roughton@186875407826948.direct.elationemr.com
• Direct secure messaging: lroughton313159@northwell.direct-ci.com

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.

• Peconic Family Medicine PC

  • Family Medicine Physician
  • Quogue, NY
  • NPI 1720259914
  Medicare reassignment NPD
• Paula Montagna, Ms, Rd, CDN, PLLC

  • Registered Dietitian
  • Quogue, NY
  • NPI 1447329453
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1649514597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MONTAUK HWY",
            "address_2": "BOX 1555",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119594000",
            "telephone_number": "631-653-6000",
            "fax_number": "631-653-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MONTAUK HWY",
            "address_2": "BOX 1555",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119594000",
            "telephone_number": "631-653-6000",
            "fax_number": "631-653-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGHTON",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30306135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peconic Family Medicine PC
• Peconic Wellness NP - Psychiatry Services PLLC
• Elizabeth Allison Plate, LMSW
• Psychological Alternatives, PC
• Meredith Estelle Roessle, NP-C
• Kathleen Mary Tilley, LMT
• Susan Valentino, M.S.;C.C.C.
• Zoom Taxi and Transportation

• Adult Health Nurse Practitioner in Quogue, NY
• Providers in Quogue, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.