John A Laury Jr., CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019276 Issued in PA

Practice address

3535 Market St Ste 100
Philadelphia, PA 19104-3376

Phone

(484) 686-0634

NPI assigned

Oct 11, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trustees of the University of Pennsylvania

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1740411651
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1710452180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SPRUCE ST APT 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075608",
            "telephone_number": "215-746-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043376",
            "telephone_number": "484-686-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURY",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lauriello
• John Lauriello, MD
• Naomi Fishlow Lauriello, M.D.
• Clinton Lauritsen, D.O.
• Peter Maxwell Lauro
• William L Laury Sr., M.D.
• John Scott Lausch, DO
• Ebbing Lautenbach, MD
• Gillian L Lautenbach, MD
• Virginia Lauterbach

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.