Individual provider Active NPI

Nicole Lamprinakos

  • Physician Assistant
  • New York, NY
National Provider Identifier
1710367271
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019007 Issued in NY
Practice address
220 E 63Rd St
Lobby J
New York, NY 10065-7660
Phone
(212) 308-3088
NPI assigned
May 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019007 NY Primary

Addresses

Primary practice location

220 E 63Rd St
Lobby J
New York, NY 10065-7660

Mailing address

220 E 69TH St
New York, NY 10021-5737
Phone (212) 535-4611

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
I20170627001163 NY Practitioner - Physician Assistant 7113296658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019007NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Perinatology PLLC PastSince Jul 1, 2008 Accepting new patients
Bethpage Medical, PLLC PastSince Jun 15, 2010 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1710367271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215737",
            "telephone_number": "212-535-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 63RD ST",
            "address_2": "LOBBY J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657660",
            "telephone_number": "212-308-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPRINAKOS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.