Individual provider Active NPI

Nick Lauren, DPT

  • Geriatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1952176950
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
051623-01 Issued in NY
Practice address
2255 Coleman St
Brooklyn, NY 11234-5126
Phone
(718) 434-5100
NPI assigned
Nov 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 051623-01 NY Primary

Addresses

Primary practice location

2255 Coleman St
Brooklyn, NY 11234-5126

Mailing address

10420 Queens Blvd Apt 3B
Forest Hills, NY 11375-3602
Phone (347) 551-2032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240101000165 NY Practitioner - Physical Therapist in Private Practice 1052761251 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051623NYMDPharmacist
051623-01NYMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Americare, Inc. PastSince Nov 26, 2023 Accepting new patients
Americare, Inc. PastSince Nov 26, 2023 Accepting new patients

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1952176950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD APT 3B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753602",
            "telephone_number": "347-551-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 COLEMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345126",
            "telephone_number": "718-434-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREN",
        "first_name": "NICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "051623-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.