Individual provider Active NPI

Lara Nadosy

  • Advanced Practice Midwife
  • Center Moriches, NY
National Provider Identifier
1699372300
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
600 Montauk Hwy Ste C
Center Moriches, NY 11934-2235
Phone
(631) 638-7820
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

600 Montauk Hwy Ste C
Center Moriches, NY 11934-2235

Mailing address

600 Montauk Hwy Ste C
Center Moriches, NY 11934-2235
Phone (631) 638-7820

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201002289 NY Practitioner - Certified Nurse Midwife (CNM) 5991119075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Associates in Obstetrics & Gynecology, University Faculty P CurrentSince Jan 20, 2021 Accepting new patients
University Hospital at Stony Brook Past Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati PastSince Nov 21, 2021 Accepting new patients

Locations

600 Montauk Hwy
Ste C
Center Moriches, NY 11934
Phone (631) 638-7820

183 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-2225

74 Commerce Ave
Ste 1
Riverhead, NY 11901
Phone (531) 405-0898

595 Hampton Rd
Southampton, NY 11968
Phone (516) 283-0918

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: lara.nadosy@sbcm.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1699372300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MONTAUK HWY STE C",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342235",
            "telephone_number": "631-638-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MONTAUK HWY STE C",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342235",
            "telephone_number": "631-638-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOSY",
        "first_name": "LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

Verify at the official NPI Registry.