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LAWRENCE FAMILY MEDICAL PRACTICE, P.C.
NPI 1124028907
Family Medicine in Lawrence, NY

Active since July 22, 2005CLIA 33D0154014 · Waiver
310 BROADWAY, LAWRENCE, NY 11559(516) 239-5540(516) 239-1363 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mitchell Kurk, Doctor, as its authorized official.

NPPES Registry Identity

NPI1124028907
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAWRENCE FAMILY MEDICAL PRACTICE, P.C.
Location Address310 BROADWAYLawrence, NY 11559-1510
Mailing Address310 BroadwayLawrence, NY 11559-1510 · (516) 239-5540 · Fax (516) 239-1363
Phone(516) 239-5540
Fax(516) 239-1363
Organization SubpartNo
Authorized OfficialMitchell KurkDoctor · (516) 239-5540
Enumeration DateJuly 22, 2005
Last NPPES UpdateJune 3, 2009
✔ NPI 1124028907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 084977
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
310 BROADWAY, Lawrence, NY 11559
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Other Identifiers 2

Medicare UPINC06079NY
Medicare PIN5D8491NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0154014

Lawrence Family Medical Practice PC · Lawrence, NY
Active · expires Aug 31, 2026
CLIA Number33D0154014
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Mitchell Kurk
Laboratory Phone(516) 239-5540
Laboratory LocationLawrence Family Medical Practice PC310 Broadway, Lawrence, NY 11559
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MITCHELL KURK MD
Family Medicine
310 BROADWAY
LAWRENCE, NY 11559
Nassau County (516) 239-5540

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.

Does Lawrence Family Medical Practice, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0154014) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.