Individual provider Active NPI

Lurline P Stona, FNP

  • Family Nurse Practitioner
  • Uniondale, NY
National Provider Identifier
1962598532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
461548-1 Issued in NY
Practice address
740 Campus Street
Uniondale, NY 11553
Phone
(866) 389-2727
Fax
(612) 659-7101
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 461548-1 NY Primary

Addresses

Primary practice location

740 Campus Street
Uniondale, NY 11553

Mailing address

740 Campus Street
Uniondale, NY 11553
Phone (516) 292-1411

Other names 1

  • Lurline P Mitchell Former name

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
I20090317000263 NY Practitioner - Nurse Practitioner 5890852909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
461548-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Polymedic Diagnostic & Treatment Center Inc CurrentSince Jul 15, 2014 Accepting new patients
Hillside Polymedic P.C. PastSince Jul 15, 2014 Accepting new patients

Locations

18730 Hillside Ave
Jamaica, NY 11432
Phone (718) 264-1111

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962598532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CAMPUS STREET",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "11553",
            "telephone_number": "516-292-1411",
            "fax_number": "612-659-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CAMPUS STREET",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "11553",
            "telephone_number": "866-389-2727",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONA",
        "first_name": "LURLINE",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "461548-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LURLINE",
            "last_name": "MITCHELL",
            "middle_name": "P",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uniondale, NY

Sources for this page

Verify at the official NPI Registry.