Individual provider Active NPI

Lucille Lore, MSN FNP

  • Family Nurse Practitioner
  • Lake Grove, NY
National Provider Identifier
1659912608
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344513-01 Issued in NY
Practice address
2995 Middle Country Rd
Lake Grove, NY 11755-2138
Phone
(631) 972-5997
Fax
(631) 350-0324
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 F344513-01 NY Primary

Addresses

Primary practice location

2995 Middle Country Rd
Lake Grove, NY 11755-2138

Mailing address

1001 Hawkins Ave Unit 335
Lake Grove, NY 11755-5015
Phone (631) 972-5997

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
I20230801003588 NY Practitioner - Nurse Practitioner 3971964347 Reassigns benefits to 1 organization
Practice locations: Centereach, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F344513-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Jan 13, 2025 Accepting new patients
My Medical PC CurrentSince Sep 1, 2024 Accepting new patients
Lucille Lore, Inc. CurrentSince Jul 1, 2023 Accepting new patients
North Shore Hematology Oncology Associates PC Past Accepting new patients
K & H Medical PLLC PastSince Oct 1, 2023 Accepting new patients

Locations

69 W Main St
Bay Shore, NY 11706
Phone (631) 665-4044

1377 5th Ave
Bay Shore, NY 11706
Phone (631) 336-7327

581 Middle Rd
Bayport, NY 11705
Phone (631) 472-8100

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

32645 Main Rd
Ste 78
Cutchogue, NY 11935

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

805 Northern Blvd
Ste 4
Great Neck, NY 11021

900 Main St
Holbrook, NY 11741
Phone (631) 588-4486

2835 Middle Country Rd
Lake Grove, NY 11755
Phone (631) 467-3564

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

701 Route 25A
Mount Sinai, NY 11766
Phone (631) 331-4403

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

5316 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 689-7800

300 Old Country Rd
Riverhead, NY 11901
Phone (631) 686-2580

448 Griffing Ave
Riverhead, NY 11901
Phone (631) 369-7080

333 Route 25A
Ste 40
Rocky Point, NY 11778
Phone (631) 209-0050

217 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 588-4860

267 E Main St
Bldg A
Smithtown, NY 11787
Phone (631) 724-2000

267 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 366-0969

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

6144 Route 25A
Ste 14
Wading River, NY 11792
Phone (631) 707-8771

Interoperability endpoints

  • Direct secure messaging: lucille.lorefnp@lln-ny.direct.office.nextgen.com

Organizations & group practices 5

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1659912608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HAWKINS AVE UNIT 335",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117555015",
            "telephone_number": "631-972-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 MIDDLE COUNTRY RD",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552138",
            "telephone_number": "631-972-5997",
            "fax_number": "631-350-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORE",
        "first_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344513-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

Verify at the official NPI Registry.