Active NPI
Lawrence L Northorn, D.O.
- Family Medicine Physician
- East Islip, NY
National Provider Identifier
1992763585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 233269
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Peconic Bay Homehealth Services
- Constellation Home Care
- Centerwell Home Health
- Good Samaritan Hospital Medical Center
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233269 | NY | MD | Family Medicine Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence L. Northorn DO PC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- East Islip, NY
- NPI 1255570164
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hauppauge, NY
- NPI 1376575977
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- Home Health Agency
- Syosset, NY
- NPI 1841629698
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
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
- National Healthcare Supply LLC
- Kelly Anne Nawrath
- Nicole M Darrow DO P C
- North Shore Hematology Oncology Associates PC
- Northern Neurologic Monitoring Systems PC
- Northshore Wellness Medical PC
- Zachary Alexander Nowicki, DC
- Khrystyna Nykolyn, LMSW
- Brendan McSweeney O'Boyle, PA-C
- Brendan O'Connell, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.