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LAUREN E BOVELLE R.P.A.
NPI 1679826697
Physician Assistant - Medical in Deer Park, NY

Active since October 16, 2012PECOS Enrolled
16 VAN COTT RD STE 2E, DEER PARK, NY 11729(631) 274-0777 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lauren E Bovelle R.p.a. NPPES

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

LAUREN E BOVELLE R.P.A. (NPI 1679826697) is an individual medical provider in Deer Park, New York, licensed in New York (P86106) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679826697
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAUREN E BOVELLECredential: R.P.A.
Location Address16 VAN COTT RD STE 2EDeer Park, NY 11729-6519
Mailing Address16 Van Cott Rd Ste 2eDeer Park, NY 11729-6519 · (631) 274-0777
Phone(631) 274-0777
Sole ProprietorNo
Enumeration DateOctober 16, 2012
Last NPPES UpdateOctober 30, 2013
✔ NPI 1679826697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · P86106
16 VAN COTT RD STE 2E, Deer Park, NY 11729
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Other Identifiers 1

Medicare PINA400091626NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren E Bovelle R.p.a. 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.

Other Providers at the Same Location NPPES 4

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

PRISCILLA ROSE POUCHIE RN, FNP
Nurse Practitioner (Family)
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (631) 274-0777
AMRIT GHARA NP
Nurse Practitioner (Adult Health)
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (631) 274-0777
GABRIELLA ROSE PELLETTERI PA-C
Physician Assistant
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (631) 274-0777
LONG ISLAND QUEENS HEARING ASSO INC
Hearing Aid Equipment
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (855) 423-3700

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 Lauren Bovelle's NPI number?

The NPI number for Lauren Bovelle is 1679826697. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Lauren Bovelle located?

Lauren Bovelle practices at 16 Van Cott Rd Ste 2E, Deer Park, NY 11729. The listed phone number is (631) 274-0777.

What is Lauren Bovelle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lauren Bovelle enrolled in Medicare?

Yes. Lauren Bovelle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Bovelle was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.