LAUREN PROCACCINO (NPI# 1306484472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306484472 |
| Entity Type | Individual |
| Full Name | LAUREN PROCACCINO |
| Credential | PA |
| Practice Address |
410 Lakeville Rd New Hyde Park NY 11042-1101 |
| Practice Telephone | 5163217555 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9525 Queens Blvd, Rego Park, NY 113744510 | 7189256285 |
| Street Address |
410 LAKEVILLE RD |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825201 | Shoaba Jaikissoon | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2020-09-14 |
| 1881231165 | Angelica Corrigan | Social Worker | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2019-12-05 |
| 1861991259 | Advanced Cardiovascular Diagnostics Pllc | Internal Medicine | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2018-02-12 |
| 1043725823 | Rachel Lowy | Physician Assistant | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2017-12-03 |
| 1659730638 | Kathleen Ann O'connor | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2016-02-18 |
| 1356719082 | Ari Leonard Ginsberg Md Pllc | Specialist | 410 Lakeville Rd, 100, New Hyde Park, NY 11042-1101 | 2015-09-11 |
| 1720462534 | Katherine Hogan | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2015-07-13 |
| 1669854832 | True North Health Pharmacy, Inc. | Pharmacy | 410 Lakeville Rd, Suite 102, New Hyde Park, NY 11042-1101 | 2015-06-24 |
| 1306284930 | Restorative Medicine, P.C. | Physical Medicine & Rehabilitation | 410 Lakeville Rd, Suite 303, New Hyde Park, NY 11042-1101 | 2013-06-05 |
| 1891132601 | Pamela Jean Reichert-anderson | Dietitian, Registered | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049355 | Gabriella Vazquez | Physician Assistant | 26912 Union Tpke, New Hyde Park, NY 11040-1535 | 2020-10-03 |
| 1255953519 | Ilana Vosk | Physician Assistant | 1 Dakota Dr Ste 320, New Hyde Park, NY 11042-1136 | 2020-05-09 |
| 1902430069 | Michael Brandon Roemer | Physician Assistant | 300 Bryn Mawr Rd, New Hyde Park, NY 11040-3509 | 2020-02-27 |
| 1295207314 | Frank Joseph Commisso | Physician Assistant | 1 Dakota Dr Ste 120, New Hyde Park, NY 11042-1136 | 2018-12-31 |
| 1891278883 | Christopher Deguzman Eslis | Physician Assistant | 545 N 1st St, New Hyde Park, NY 11040-2819 | 2018-09-14 |
| 1871040907 | Saumia Nair | Physician Assistant | 7629 270th St, New Hyde Park, NY 11040-1417 | 2016-09-07 |
| 1649637737 | Kelly Madden | Physician Assistant | 2800 Marcus Ave # 110, New Hyde Park, NY 11042-1113 | 2016-01-21 |
| 1275910747 | Priyanka Chandrakumar | Physician Assistant | 915 Hillside Avenue, New Hyde Park, NY 11040 | 2015-05-04 |
| 1871932038 | David Kolomer | Physician Assistant | 20 Farrel St, New Hyde Park, NY 11040-2408 | 2013-06-21 |
| 1598004582 | Manoj Modi | Physician Assistant | 2001 Marcus Ave Ste W170, New Hyde Park, NY 11042-2042 | 2013-02-11 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.