Individual provider Active NPI

Lori Ann Chodash, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1841594959
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406470 Issued in NY
Practice address
21 4TH Ave
Bay Shore, NY 11706-7908
Phone
(631) 665-6707
NPI assigned
Jan 4, 2011
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382177-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406470 NY Primary

Addresses

Primary practice location

21 4TH Ave
Bay Shore, NY 11706-7908

Mailing address

21 4TH Ave
Bay Shore, NY 11706-7908
Phone (631) 665-6707

Other practice location 1

153 Lake Shore Rd # A
Lake Ronkonkoma, NY 11779-3193
Phone (844) 815-1508

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
I20250422003244 NY Practitioner - Nurse Practitioner 7911422969 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Physicians Group, PLLCGroup PAC ID 0042433146, 19 clinicians

Practice addresses (Care Compare)

21 4TH Ave
Bay Shore, NY 11706-7908
Phone (631) 665-6707

283 Commack Rd
Suite 300
Commack, NY 11725-3400
Phone (631) 462-2980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
382177NYMDSchool Registered Nurse
F382177-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Apr 1, 2025 Accepting new patients
Phoenix Houses of Long Island, Inc. CurrentSince Feb 6, 2025 Accepting new patients
Allied Physicians Group, PLLC CurrentSince Aug 11, 2025 Accepting new patients
Raphael Strauss MD PC CurrentSince Aug 11, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2025 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Apr 1, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2025 Accepting new patients
Om Psychiatry, P.C. CurrentSince Mar 7, 2025 Accepting new patients

Locations

21 4th Ave
Bay Shore, NY 11706
Phone (631) 665-6707

1841 Brentwood Rd
Brentwood, NY 11717
Phone (631) 601-1300

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

283 Commack Rd
Ste 300
Commack, NY 11725
Phone (631) 462-2980

90 Cherry Ln
Hicksville, NY 11801
Phone (516) 733-7040

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

153A Lake Shore Rd
Ronkonkoma, NY 11779
Phone (631) 306-5710

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

1600 Stewart Ave
Ste 310
Westbury, NY 11590
Phone (516) 224-4271

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1841594959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067908",
            "telephone_number": "631-665-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067908",
            "telephone_number": "631-665-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Lake Shore Rd # A",
            "address_purpose": "LOCATION",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "postal_code": "117793193",
            "country_code": "US",
            "telephone_number": "844-815-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHODASH",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382177-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.