Active NPI
Michele Woodward Lawton, PA-C
- Physician Assistant
- Staten Island, NY
National Provider Identifier
1962428565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005361-1
- Practice address
- 475 Seaview Ave
OB / GYN Department
Staten Island, NY 10305-3436 - Phone
- (715) 226-9269
- Fax
- (718) 226-6873
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005361-1 | NY | Primary |
Addresses
Primary practice location
475 Seaview Ave
OB / GYN Department
Staten Island, NY 10305-3436
Mailing address
258 Rutgers PL
Nutley, NJ 07110-1838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005361-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962428565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 RUTGERS PL",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"address_2": "OB / GYN DEPARTMENT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "715-226-9269",
"fax_number": "718-226-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWTON",
"first_name": "MICHELE",
"middle_name": "WOODWARD",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005361-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.