Active NPI
Lucy Pires Correia, NP
- Women's Health Nurse Practitioner
- New York, NY
National Provider Identifier
1992762371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F420434-1
- Practice address
- 21 Audubon Avenue
Family Planning Clinic
New York, NY 10032 - Phone
- (212) 342-3236
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F420434-1 | NY | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 26NN08413500 | NJ |
Addresses
Primary practice location
21 Audubon Avenue
Family Planning Clinic
New York, NY 10032
Mailing address
2100 Linwood Ave
Fort Lee, NJ 07024-3159
Phone (201) 947-5499
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F420434-1 | Other | NY | LICENSE # |
| 26NN08413500 | Other | NJ | LICENSE NUMBER |
| 7484003 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140123001025 | NY | Order and Referring Only - Nurse Practitioner | 0244468148 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN08413500 | NJ | MD | Women's Health Nurse Practitioner |
| F420434-1 | NY | MD | Women's Health Nurse Practitioner |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- luc9004@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1992762371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 LINWOOD AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243159",
"telephone_number": "201-947-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 AUDUBON AVENUE",
"address_2": "FAMILY PLANNING CLINIC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-342-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREIA",
"first_name": "LUCY",
"middle_name": "PIRES",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F420434-1",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NN08413500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "F420434-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "26NN08413500",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7484003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.