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DR. TRACY LAWRENCE-BLACK MD
NPI 1033119953
Pediatrics - Neonatal-Perinatal Medicine in Valhalla, NY

Active since July 22, 2005PECOS Enrolled
95 BRADHURST AVE, VALHALLA, NY 10595(914) 592-7555(866) 310-5326 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Dr. Tracy Lawrence-black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACY LAWRENCE-BLACK MD (NPI 1033119953) is an individual neonatal-perinatal medicine provider in Valhalla, New York, licensed in New York (281882) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1033119953
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. TRACY LAWRENCE-BLACKCredential: MD
Location Address95 BRADHURST AVEValhalla, NY 10595-1637
Mailing Address53 Stonewall CirWest Harrison, NY 10604-1126 · (240) 205-0861
Phone(914) 592-7555
Fax(866) 310-5326
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1033119953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in NY · 281882✔ Licensed in DC · 33644✔ Licensed in CT · 053808
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
95 BRADHURST AVE, Valhalla, NY 10595
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Secondary Practice Location 1

Location 13800 Reservoir Rd NWWashington, DC 20007-2113 · Phone (202) 444-5437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Lawrence-black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tracy Lawrence-black reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore New Rochelle Hospital
8.3 mi
General Acute Care Hospital
100 CORPORATE DR, PROVIDER INFORMATION
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1295163244 (914) 377-4722
Medstar Medical Group II LLC
189 mi
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1184046187 (443) 444-5606
Mgmc LLC
229 mi
Psychiatry
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 861 clinicians in this Medicare group
NPI 1316949654 (888) 896-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELLEN VERINI PH.D
Psychologist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7138
MS. RACHEL MAUE CCC-SLP
Speech-Language Pathologist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
MRS. SARA BURRIS LIBONATI M.S.,ED.
Psychologist (School)
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7138
RACHEL HARVEY CCC-SLP
Speech-Language Pathologist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
PAMELA M CONSTANTINE O.T.R.
Occupational Therapist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
MRS. CHRISTINE F SIRBONO
Occupational Therapist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555
MRS. LAURA TARANTINO ALVAREZ LCSW
Social Worker (Clinical)
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 831-2492
MS. KA LAI KELLY AU OTR/L
Occupational Therapist
95 BRADHURST AVE
VALHALLA, NY 10595
Westchester County (914) 592-7555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Lawrence-black's NPI number?

The NPI number for Tracy Lawrence-black is 1033119953. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Tracy Lawrence-black located?

Tracy Lawrence-black practices at 95 Bradhurst Ave, Valhalla, NY 10595. The listed phone number is (914) 592-7555.

What is Tracy Lawrence-black's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tracy Lawrence-black enrolled in Medicare?

Yes. Tracy Lawrence-black is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tracy Lawrence-black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Lawrence-black reassigns Medicare benefits to 3 organizations: Montefiore New Rochelle Hospital (Yonkers, NY), Medstar Medical Group II LLC (Baltimore, MD) and Mgmc LLC (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Lawrence-black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Lawrence-black was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.