Individual provider Active NPI

Linda Ording-Bauer, NP, MS

  • Adult Health Nurse Practitioner
  • Setauket, NY
National Provider Identifier
1790779544
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301549 Issued in NY
Practice address
205 N. Belle Meade Rd
Stony Brook University Medical Center Primary Care
Setauket, NY 11733-9252
Phone
(631) 444-4715
Fax
(631) 444-4695
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301549 NY Primary

Addresses

Primary practice location

205 N. Belle Meade Rd
Stony Brook University Medical Center Primary Care
Setauket, NY 11733-9252

Mailing address

3 Whinstone St
Coram, NY 11727-1020
Phone (631) 444-4715

Other identifiers 1

IdentifierTypeStateIssuer
03057325MedicaidNY

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
I20131119001931 NY Order and Referring Only - Nurse Practitioner 5496981573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F301549NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.ordingbauer@direct.stonybrookmedicine.edu

Organizations & group practices 1

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1790779544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WHINSTONE ST",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271020",
            "telephone_number": "631-444-4715",
            "fax_number": "631-444-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N. BELLE MEADE RD",
            "address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER PRIMARY CARE",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117339252",
            "telephone_number": "631-444-4715",
            "fax_number": "631-444-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDING-BAUER",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "NP, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03057325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

Verify at the official NPI Registry.