Individual provider Active NPI

William Lara, FNP-C

  • Family Nurse Practitioner
  • Stony Point, NY
National Provider Identifier
1801407390
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347526 Issued in NY
Practice address
12 De Halve Maen Dr
Stony Point, NY 10980-2603
Phone
(561) 685-5919
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347526 NY Primary

Addresses

Primary practice location

12 De Halve Maen Dr
Stony Point, NY 10980-2603

Mailing address

12 De Halve Maen Dr
Stony Point, NY 10980-2603
Phone (561) 685-5919

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
I20220623001684 NY Practitioner - Nurse Practitioner 0648659532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockland Urgent Care Family Health NP, PCGroup PAC ID 1254655426, 15 clinicians

Practice addresses (Care Compare)

89 S Route 9W
West Haverstraw, NY 10993-1047
Phone (845) 429-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
347526NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Urgent Care Family Health NP, P.C. CurrentSince May 16, 2022 Accepting new patients
Medicine Check PC CurrentSince Feb 4, 2026 Accepting new patients
KJ Medical Practice PC CurrentSince Sep 6, 2025 Accepting new patients

Locations

89 S Route 9W
West Haverstraw, NY 10993
Phone (845) 426-6156

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGEFDD

Organizations & group practices 3

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1801407390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DE HALVE MAEN DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802603",
            "telephone_number": "561-685-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DE HALVE MAEN DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802603",
            "telephone_number": "561-685-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2022-03-24",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Point, NY

Sources for this page

Verify at the official NPI Registry.