LAWRENCE FAMILY MEDICAL PRACTICE, P.C.
NPI 1124028907
Family Medicine in Lawrence, NY
About Lawrence Family Medical Practice, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE FAMILY MEDICAL PRACTICE, P.C. (NPI 1124028907) is a healthcare organization registered as a family medicine in Lawrence, New York and active in the NPI registry since July 2005. The organization lists Mitchell Kurk, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lawrence Family Medical Practice, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lawrence Family Medical Practice, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lawrence Family Medical Practice, P.C.'s NPI number?
The NPI number for Lawrence Family Medical Practice, P.C. is 1124028907. It was assigned to this organization in the NPPES registry on July 22, 2005.
Where is Lawrence Family Medical Practice, P.C. located?
Lawrence Family Medical Practice, P.C. is located at 310 Broadway, Lawrence, NY 11559. The listed phone number is (516) 239-5540.
What is Lawrence Family Medical Practice, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lawrence Family Medical Practice, P.C. enrolled in Medicare?
Yes. Lawrence Family Medical Practice, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lawrence Family Medical Practice, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lawrence Family Medical Practice, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lawrence Family Medical Practice, P.C. was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lawrence Family Medical Practice, P.c. · NPI 1124028907
Family Medicine organization in Lawrence, New York. Organization record, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1124028907 (Entity type: Organization)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mitchell Kurk, DOCTOR
## Practice location
- **Address:** 310 BROADWAY, Lawrence, NY 11559-1510
- **Phone:** (516) 239-5540 · **Fax:** (516) 239-1363
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2009
- **Other identifiers:** Medicare UPIN C06079 (NY); Medicare PIN 5D8491 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1124028907) · Data from the CMS NPPES public registry.