Lani Graham, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308386 Issued in NY

Practice address

1050 Old Nichols Rd
Islandia, NY 11749-5026

Phone

(631) 828-4545

Fax

(631) 828-4545

NPI assigned

Aug 23, 2017

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lani Weintraub Former name

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

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Wellness PCGroup PAC ID 6709128697, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4

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.

• Community Medical Wellness PC

  • Pain Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1073002473
  Medicare reassignment Care Compare group NPD
• Edward Condon Medical PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Commack, NY
  • NPI 1811174519
  Medicare reassignment NPD
• Samaritan Medical Services, P.C.

  • Internal Medicine Physician
  • West Islip, NY
  • NPI 1124184544
  Medicare reassignment NPD
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island

  • Skilled Nursing Facility
  • Commack, NY
  • NPI 1669472304
  Medicare reassignment NPD
• The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island

  dba Gurwin Jewish Geriatric Center

  • Long Term Care Pharmacy
  • Commack, NY
  • NPI 1386750321
  NPD

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1942727797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 TERRY RD",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795947",
            "telephone_number": "631-741-6565",
            "fax_number": "631-828-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD NICHOLS RD",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495026",
            "telephone_number": "631-828-4545",
            "fax_number": "631-828-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LANI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANI",
            "last_name": "WEINTRAUB",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristina Ana Gonzalez, LPN
• Patrick Gooch, DDS
• Surya Gopal, PHARM. D.
• Nalin Gorbert, LCSW
• Ron D Gottlieb, M.D.
• Howard C Green, DC
• Ruth G Green, PH.D.
• Kereen S Gregory, LPN
• Diana Guaraca
• Johanna Guerrero-Dejesus, LMT

• Adult Health Nurse Practitioner in Islandia, NY
• Providers in Islandia, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.