Organization Active NPI

Office Visit Alternative, NP in Adult Health, PLLC

  • Adult Health Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1871874891
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
302689 Issued in NY
Legal business name
OFFICE VISIT ALTERNATIVE, NP IN ADULT HEALTH, PLLC
Practice address
228 Atlantic PL
Hauppauge, NY 11788-4439
Phone
(631) 605-2525
NPI assigned
Sep 3, 2011
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Laura Paduano, NPNPI 1457402331
Title
Owner
Phone
(630) 605-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 302689 NY Primary

Addresses

Primary practice location

228 Atlantic PL
Hauppauge, NY 11788-4439

Mailing address

228 Atlantic PL
Hauppauge, NY 11788-4439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130418000223 NY Part B Supplier - Clinic/Group Practice 0840436879 Receives reassigned benefits from 1 practitioner
Practice locations: Hauppauge, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2250148Office Visit Alternative NP in Adult Health PLLC228 Atlantic Place, Hauppauge, NY 11788Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1871874891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ATLANTIC PL",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 ATLANTIC PL",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884439",
            "telephone_number": "631-605-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE VISIT ALTERNATIVE, NP IN ADULT HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "PADUANO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-605-2525",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "302689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.