Individual provider Active NPI

Lillian Lawton-Hernandez, PNP

  • Pediatric Nurse Practitioner
  • Islandia, NY
National Provider Identifier
1972676146
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380495 Issued in NY
Practice address
3001 Expressway Dr N Ste 100
Islandia, NY 11749-5301
Phone
(631) 434-1770
Fax
(631) 234-6175
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380495 NY Primary

Addresses

Primary practice location

3001 Expressway Dr N Ste 100
Islandia, NY 11749-5301

Mailing address

161 Bayport Ave
Bayport, NY 11705-1850
Phone (631) 434-1770

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
I20160503001461 NY Practitioner - Nurse Practitioner 4183923758 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F380495NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Pediatrics of Suffolk County, P.C. CurrentSince Jan 27, 2016 Accepting new patients

Locations

1770 Motor Pkwy
Islandia, NY 11749
Phone (631) 434-1770

3001 Express Dr N
Ste 100
Islandia, NY 11749
Phone (631) 434-1770

1770 Motor Pkwy
Ste 201
Islandia, NY 11749

5505 Route 347
Mount Sinai, NY 11766
Phone (631) 331-4403

Networks

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

Interoperability endpoints

  • Direct secure messaging: lillianlawtonhernandez@nslijmedgr.allscriptsdirect.net

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1972676146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BAYPORT AVE",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051850",
            "telephone_number": "631-434-1770",
            "fax_number": "631-434-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EXPRESSWAY DR N STE 100",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495301",
            "telephone_number": "631-434-1770",
            "fax_number": "631-234-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON-HERNANDEZ",
        "first_name": "LILLIAN",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

Verify at the official NPI Registry.