LAINE NP ADULT WELLNESS CARE PC


Address: 539 De Mott Ave, North Baldwin, NY 11510-1321
Phone: 5162236088

LAINE NP ADULT WELLNESS CARE PC (NPI# 1225450364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225450364
Entity Type Organization
Organization Name LAINE NP ADULT WELLNESS CARE PC
Practice Address 539 De Mott Ave
North Baldwin
NY 11510-1321
Practice Telephone 5162236088
Mailing Telephone 5162236088
Enumeration Date 2014-01-08
Last Update Date 2014-01-08
Authorized Official Name ROSAIRE B LAINE (CEO)
Authorized Official Telephone 9732208313
Authorized Official Credential APN-BC
Is Organization Subpart Y
Parent Organization Name LAINE ASSOCIATED INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
F304165-1 NY Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
199824 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY NPI 1104861558 01
NY 0469 05
NY TAXONOMY 173000000X 01
NJ 0362301 05

Office Location

Street Address 539 DE MOTT AVE
City NORTH BALDWIN
State NY
Zip Code 11510-1321

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952810657 Garfield Patrick Nurse Practitioner 2044 Pine Street, Baldwin, NY 11510 2017-09-25
1447794557 Amanda Rose Marcos Specialist/Technologist 2830 Laurel Ave, Baldwin, NY 11510 2016-12-08
1184170896 Steffany Lissette Martinez Home Health 606 Rose Blvd, Baldwin, NY 11510 2016-09-01
1992188429 Robert Bunstead Specialist 2475 Soper Ave., Baldwin, NY 11510 2015-07-01
1376926907 Hazel Mckain Registered Nurse 1011 Alexander Pl, North Baldwin, NY 11510 2015-07-01
1922481605 Nonie Craige Social Worker 2811 Tulip Ave, Baldwin, NY 11510 2015-06-30
1942625058 Stefanie Scherner Massage Therapist 2789 Milburn Ave, Baldwin, NY 11510 2014-02-26
1497090476 Thelma B Grant Midwife 1323 Tanwood Dr., Baldwin, NY 11510 2012-12-03
1366712432 Maria Carmen Antoine Psychologist 3098 Ann St, Baldwin, NY 11510 2012-01-06
1992003818 Carole Marie Mondesir Nurse Practitioner 489 Demott Avenue, Baldwin, NY 11510 2011-03-01
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1104817295 North Baldwin Pediatrics, P.c Clinic/Center 2010 Grand Ave, North Baldwin, NY 11510-2811 2005-10-29

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1952920795 Divine Medical LLC Clinic/Center 13163 233rd St # 1, Rosedale, NY 11422-1305 2020-04-12
1972159333 Ap Medical Care PC Clinic/Center 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 2019-08-12
1982258422 Schenk Primary Care Medicine, Pllc Clinic/Center 2350 Maple Road Suite 100, Amherst, NY 14221 2019-08-01
1356993976 Mingzhu Medical Office, P.C. Clinic/Center 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 2019-07-13
1417509357 Henderson Health Services Family Nurse Practitioner Pllc Clinic/Center 4 Clarion Dr, White Plains, NY 10603-2868 2019-07-11
1154988897 Bissalam Medical LLC Clinic/Center 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 2019-05-28
1851859961 Lower Westchester Medical Associates, P.C. Clinic/Center 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 2019-03-07
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Competitor

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City NORTH BALDWIN
Zip Code 11510

Improve Information

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Dataset Information

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.

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