Individual provider Active NPI

Nicole Lostritto, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Albany, NY
National Provider Identifier
1942566583
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
286374 Issued in NY
Practice address
47 New Scotland Ave
Department of Physical Medicine and Rehabilitation
Albany, NY 12208-3412
Phone
(518) 262-5633
Fax
(518) 262-9036
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 286374 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Department of Physical Medicine and Rehabilitation
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave
Department of Physical Medicine and Rehabilitation
Albany, NY 12208-3412
Phone (518) 262-5633

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000980 NY Practitioner - Physical Medicine and Rehabilitation 9931487477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
286374NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Physical Medicine & Rehabilitation CurrentSince Feb 1, 2019 Accepting new patients
Albany Medical College Physical Medicine & Rehabilitation CurrentSince Oct 1, 2016 Accepting new patients
Albany Medical College CurrentSince Oct 1, 2016 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1942566583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5633",
            "fax_number": "518-262-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5633",
            "fax_number": "518-262-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSTRITTO",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "286374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.