Active NPI
Lauren E Lavine, NP
- Family Nurse Practitioner
- North Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339783
- Practice address
- 6846 Buckley Road
Nephrology Hypertension Associates of Cny, PC
North Syracuse, NY 13212 - Phone
- (315) 410-6400
- Fax
- (315) 410-6410
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339783 | NY | Primary |
Addresses
Primary practice location
6846 Buckley Road
Nephrology Hypertension Associates of Cny, PC
North Syracuse, NY 13212
Mailing address
6846 Buckley Road
Nephrology Hypertension Associates of Cny, PC
North Syracuse, NY 13212
Phone (315) 410-6400
Other names 1
- Lauren E Gildemeyer
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical PC | Current | Accepting new patients | |
| St. Joseph'S Physician Health, P.C. | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Family | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- llavine92493@direct.upstate.edu
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1184974529
Family
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- Pharmacy
- Syracuse, NY
- NPI 1306567474
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1780068221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6846 BUCKLEY ROAD",
"address_2": "NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-410-6400",
"fax_number": "315-410-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6846 BUCKLEY ROAD",
"address_2": "NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-410-6400",
"fax_number": "315-410-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVINE",
"first_name": "LAUREN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "GILDEMEYER",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.