Individual provider Active NPI

Cinthia Lariviere

  • Family Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1740820455
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353534 Issued in NY
Practice address
327 Werns Ave
Elmont, NY 11003-3014
Phone
(347) 458-4685
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 734386 NY
Family Nurse Practitioner 363LF0000X 353534 NY Primary

Addresses

Primary practice location

327 Werns Ave
Elmont, NY 11003-3014

Mailing address

327 Werns Ave
Elmont, NY 11003-3014

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
I20240624001633 NY Practitioner - Nurse Practitioner 6103369731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
American Wound Care Medicine PLLCGroup PAC ID 6709237118, 5 clinicians

Practice addresses (Care Compare)

3514 Mermaid Ave
Brooklyn, NY 11224-1508
Phone (410) 972-7056

888 Veterans Memorial Hwy
Suite 220
Hauppauge, NY 11788-2940
Phone (855) 479-4217

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
734386NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Wound Care Medicine PLLC CurrentSince Apr 29, 2024 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince Jun 14, 2024 Accepting new patients

Locations

3514 Mermaid Ave
Brooklyn, NY 11224
Phone (410) 972-7056

68 S Service Rd
Ste 100
Melville, NY 11747
Phone (516) 316-4689

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1740820455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 WERNS AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 WERNS AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033014",
            "telephone_number": "347-458-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVIERE",
        "first_name": "CINTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "734386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.