Individual provider Active NPI

Lucas William Maffei, NP-C

  • Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1952262982
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
356916 Issued in NY
Practice address
5112 W Taft Rd Ste J
Liverpool, NY 13088-4866
Phone
(315) 701-2170
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 356916 NY Primary

Addresses

Primary practice location

5112 W Taft Rd Ste J
Liverpool, NY 13088-4866

Mailing address

5112 W Taft Rd Ste J
Liverpool, NY 13088-4866
Phone (315) 701-2170

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
I20260317001629 NY Practitioner - Nurse Practitioner 9739662891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5112 W Taft Rd
Suite J
Liverpool, NY 13088-4866
Phone (315) 701-2170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
356916NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Jan 26, 2026 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Jan 26, 2026 Accepting new patients

Locations

510 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-4747

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1952262982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE J",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884866",
            "telephone_number": "315-701-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE J",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884866",
            "telephone_number": "315-701-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFEI",
        "first_name": "LUCAS",
        "middle_name": "WILLIAM",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "356916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.