Individual provider Active NPI

Laura Dorn, APRN- FNP

  • Family Medicine Physician
  • Valley Cottage, NY
National Provider Identifier
1891479184
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F352058-01 Issued in NY
Practice address
7 Louis Ave
Valley Cottage, NY 10989-2327
Phone
(914) 629-6773
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F352058-01 NY Primary

Addresses

Primary practice location

7 Louis Ave
Valley Cottage, NY 10989-2327

Mailing address

7 Louis Ave
Valley Cottage, NY 10989-2327
Phone (914) 629-6773

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
I20231218000164 NY Practitioner - Nurse Practitioner 2264881176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
352058NYMDLicensed Practical Nurse
F352058-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Surgeons of New York PC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Rockland Urgent Care Family Health NP, P.C. Single Specialty CurrentSince Oct 18, 2023 Accepting new patients
Divinity Medical Services PLLC Single Specialty CurrentSince Mar 28, 2025 Accepting new patients

Locations

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

161 Madison Ave
Rm 11W
New York, NY 10016
Phone (212) 213-3339

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

4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1891479184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LOUIS AVE",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892327",
            "telephone_number": "914-629-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LOUIS AVE",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892327",
            "telephone_number": "914-629-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "APRN- FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F352058-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

Verify at the official NPI Registry.