LAUREN IRENE KOSSACK PA
NPI 1073752986
Physician Assistant - Surgical in New York, NY

Q: What is Lauren Kossack's NPI number?

The NPI number for Lauren Kossack is 1073752986. It was assigned to this individual provider in the NPPES registry on February 17, 2009. The provider is also known as Lauren Irene Cosenzo PA.

Q: What is Lauren Kossack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Kossack was last updated on January 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 17, 2009PECOS EnrolledAccepts Medicare Assignment

1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2020, Mar 17, 2018, Dec 5, 2017 (3 updates tracked since 2017).

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About Lauren Irene Kossack Pa NPPES

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

LAUREN IRENE KOSSACK PA (NPI 1073752986) is an individual surgical provider in New York, New York, licensed in New York (008241) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073752986

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLAUREN IRENE KOSSACKCredential: PA

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address140 E 28th St Apt 4kNew York, NY 10016-0049 · (516) 770-3854

Phone(212) 639-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 17, 2009

Last NPPES UpdateJanuary 3, 20203 updates tracked since enumeration

✔ NPI 1073752986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 008241

1275 YORK AVE, New York, NY 10065

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Other Names 1

Former Name (1)Lauren Irene Cosenzo Pa

Secondary Practice Location 1

Location 13201 Kings HwyBrooklyn, NY 11234-2625 · Phone (718) 951-2927

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Irene Kossack Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395964332

PECOS Enrollment IDI20180327002065

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.

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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.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)