Individual provider Active NPI

Lawrence L Northorn, D.O.

  • Family Medicine Physician
  • East Islip, NY
National Provider Identifier
1992763585
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233269 Issued in NY
Practice address
126 E Main St Ste 1
East Islip, NY 11730-2600
Phone
(631) 581-0090
Fax
(631) 581-2879
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 233269 NY Primary

Addresses

Primary practice location

126 E Main St Ste 1
East Islip, NY 11730-2600

Mailing address

126 E Main St Ste 1
East Islip, NY 11730-2600
Phone (631) 581-0090

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000226 NY Practitioner - Family Practice 9638266752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 E Main St
Suite 1
East Islip, NY 11730-2600
Phone (631) 581-0090

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Constellation Home Care Home health agency, Syosset, NY, CCN 337447
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
233269NYMDFamily Medicine Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Lawrence L. Northorn DO PC Family Medicine CurrentSince Mar 1, 2009 Accepting new patients

Locations

126 E Main St
Ste 1
East Islip, NY 11730
Phone (631) 277-8367

Networks

  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1992763585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST STE 1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-0090",
            "fax_number": "631-581-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST STE 1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-0090",
            "fax_number": "631-581-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHORN",
        "first_name": "LAWRENCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.