Active NPI
Lauren Rotko
- Professional Counselor
- Garden City, NY
National Provider Identifier
1770147985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0563218
- Practice address
- 585 Stewart Ave
Garden City, NY 11530-4783 - Phone
- (516) 280-7285
- NPI assigned
- Apr 24, 2019
- Last updated
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0563218 | NY | Primary |
Addresses
Primary practice location
585 Stewart Ave
Garden City, NY 11530-4783
Mailing address
11 Beacon Hill Rd
Port Washington, NY 11050-3027
Phone (516) 944-3090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0563218 | NY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1770147985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BEACON HILL RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503027",
"telephone_number": "516-944-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304783",
"telephone_number": "516-280-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTKO",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "0563218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.