LANIK L GOBOURNE PA
NPI 1205287943
Physician Assistant in New Hyde Park, NY

Q: What is Lanik Gobourne's NPI number?

The NPI number for Lanik Gobourne is 1205287943. It was assigned to this individual provider in the NPPES registry on June 23, 2016. The provider is also known as Lanik Lyles.

Q: What is Lanik Gobourne's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lanik Gobourne was last updated on April 15, 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.

Active since June 23, 2016PECOS Enrolled

91.25/100

CMS Quality Rating

27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-7000 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2022, Jun 23, 2016 (2 updates tracked since 2016).

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About Lanik L Gobourne Pa NPPES

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

LANIK L GOBOURNE PA (NPI 1205287943) is an individual physician assistant in New Hyde Park, New York, licensed in New York (019879-01) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Teaneck.

NPPES Registry Identity

NPI1205287943

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLANIK L GOBOURNECredential: PA

Location Address27005 76TH AVENew Hyde Park, NY 11040-1402

Mailing Address67 Washington AveWyandanch, NY 11798-2216 · (631) 487-5801

Phone(718) 470-7000

Sole ProprietorNo

Enumeration DateJune 23, 2016

Last NPPES UpdateApril 15, 20222 updates tracked since enumeration

NPPES CertifiedApril 15, 2022

✔ NPI 1205287943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NY · 019879-01✔ Licensed in NJ · 25MP00399700

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

27005 76TH AVE, New Hyde Park, NY 11040

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Other Names 1

Former Name (1)Lanik Lyles

Secondary Practice Location 1

Location 1718 Teaneck RdTeaneck, NJ 07666-4245 · Phone (201) 833-3210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lanik L Gobourne Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Leave this field empty

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.

YELENA PYATOV MD

Family Medicine

27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7700

DR. FARHEEN HASAN MD

Internal Medicine

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

LONG ISLAND JEWISH MEDICAL CENTER

General Acute Care Hospital

27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7875

ELIZABETH ALISON HOWSE M.D.

Emergency Medicine

27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7501

ANDY CHOY MD

Radiology (Diagnostic Radiology)

27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040

Nassau County (973) 692-8694

JOANNA M MIDY WHNP

Nurse Practitioner (Women's Health)

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (516) 470-5304

XIXI XU

Nurse Anesthetist, Certified Registered

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

TYLER WEINSTEIN

Physician Assistant (Medical)

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

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 Lanik Gobourne's NPI number?

The NPI number for Lanik Gobourne is 1205287943. It was assigned to this individual provider in the NPPES registry on June 23, 2016. The provider is also known as Lanik Lyles.

Where is Lanik Gobourne located?

Lanik Gobourne practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.

What is Lanik Gobourne's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lanik Gobourne enrolled in Medicare?

Yes. Lanik Gobourne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lanik Gobourne was last updated on April 15, 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.