Individual provider Active NPI

Laura Rivera Cout, MD

  • Family Medicine Physician
  • Selden, NY
National Provider Identifier
1740366640
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
284030-1 Issued in NY
Practice address
243 Boyle Rd
Suite 1
Selden, NY 11784-1929
Phone
(631) 696-2000
Fax
(631) 696-2003
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 284030-1 NY Primary

Addresses

Primary practice location

243 Boyle Rd
Suite 1
Selden, NY 11784-1929

Mailing address

243 Boyle Rd
Suite 1
Selden, NY 11784-1929
Phone (631) 696-2000

Other identifiers 3

IdentifierTypeStateIssuer
1K3066OtherHEALTHNET
2014484001OtherKEYSTONE
P858418OtherOXFORD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000528 NY Practitioner - Family Practice 2264533397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
284030-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, PC CurrentSince Jun 1, 2016 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Internal Medicine Associates, PC CurrentSince Jun 1, 2016 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

6500 Jericho Tpke
Ste 23A
Commack, NY 11725
Phone (631) 858-2273

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500

243 Boyle Rd
Selden, NY 11784
Phone (631) 320-1247

243 Boyle Rd
Ste 1
Selden, NY 11784
Phone (631) 696-2000

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1740366640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "address_2": "SUITE 1",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-696-2000",
            "fax_number": "631-696-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "address_2": "SUITE 1",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-696-2000",
            "fax_number": "631-696-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA COUT",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "284030-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K3066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2014484001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P858418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

Verify at the official NPI Registry.