Aurora Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AURORA WELLNESS LLC

Practice address

1713 Lawrence Rd
Mohegan Lake, NY 10547-1617

Phone

(914) 438-5121

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Cristofano, MDNPI 1336596998

Title

Owner

Phone

(914) 438-5121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Anthony Cristofano, M.D.

  • Psychiatry Physician
  • Valhalla, NY
  • NPI 1336596998
  Medicare reassignment NPD Authorized official
• Jaclyn Marie Dolan Nieves, LMHC, CASAC

  • Mental Health Counselor
  • Mohegan Lake, NY
  • NPI 1659992824
  Medicare reassignment NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1750142261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 LAWRENCE RD",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471617",
            "telephone_number": "914-438-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 LAWRENCE RD",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471617",
            "telephone_number": "914-438-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "CRISTOFANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-438-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Westchester Podiatry LLP
• Naseer Ahmad, PHARMACIST
• Katherine A Anduze, CDN
• Ashraf Medical Group PLLC
• At Home Physical Therapy Wellness, P.L.L.C.
• Frank Aversa
• Hailee Nicole Bagnato
• Kshama Baraichi
• Jacqueline Bardini
• Karina Barreda, NP

• Psychiatry Physician in Mohegan Lake, NY
• Providers in Mohegan Lake, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.