Active NPI
Lorraine Jaysura, NP
- Family Nurse Practitioner
- Mamaroneck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347433
- Practice address
- 667 W Boston Post Rd
Mamaroneck, NY 10543-3439 - Phone
- (212) 441-4400
- Fax
- (415) 252-7176
- NPI assigned
- Jan 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 018663 | NY | |
| Family Nurse Practitioner | 363LF0000X | 347433 | NY | Primary |
| Registered Nurse | 163W00000X | 713661 | NY |
Addresses
Primary practice location
667 W Boston Post Rd
Mamaroneck, NY 10543-3439
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331
Other practice location 1
1469 Astor Ave Fl 1
Bronx, NY 10469-5846
Phone (917) 346-1806
Other practice location 2
100 Alcott Pl Apt 4K
Bronx, NY 10475-4153
Phone (917) 346-1806
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
129 W 29TH St
FL 10
New York, NY 10001-5105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713661 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical of Ny, P.C. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
48 W 30th St
Fl 2
New York, NY 10001
919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650
489 5th Ave
Fl 3
New York, NY 10017
Phone (212) 440-0658
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1861709487
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- New York, NY
- NPI 1760288278
-
- Internal Medicine Physician
- Manhasset, NY
- NPI 1144659749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1669776951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 W BOSTON POST RD",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433439",
"telephone_number": "212-441-4400",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1469 Astor Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104695846",
"country_code": "US",
"telephone_number": "917-346-1806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Alcott Pl Apt 4K",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104754153",
"country_code": "US",
"telephone_number": "917-346-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYSURA",
"first_name": "LORRAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-01",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "018663",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347433",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "713661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.