LAQUAN SUPERVILLE
NPI 1811682842
Nurse Practitioner - Family in New York, NY

Active since April 06, 2023PECOS EnrolledAccepts Medicare Assignment
335 LENOX AVE, NEW YORK, NY 10027(718) 450-4907 Get Directions Write a Review

NPPES record last updated: May 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 20, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Laquan Superville NPPES

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

LAQUAN SUPERVILLE (NPI 1811682842) is an individual family provider in New York, New York, licensed in New York (350969) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811682842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAQUAN SUPERVILLE
Location Address335 LENOX AVENew York, NY 10027-3703
Mailing Address12911 Jamaica Ave Apt 4nRichmond Hill, NY 11418-2664 · (718) 450-4907
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2023
Last NPPES UpdateMay 20, 20232 updates tracked since enumeration
NPPES CertifiedMay 20, 2023
✔ NPI 1811682842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 350969
335 LENOX AVE, New York, NY 10027

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

Laquan Superville 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 ID42724528
PECOS Enrollment IDI20250708001301
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 10027 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Transportation Broker
335 LENOX AVE, 3RD FLOOR
NEW YORK, NY 10027
Dentist (Oral and Maxillofacial Surgery)
335 LENOX AVE
NEW YORK, NY 10027
Dentist
335 LENOX AVE
NEW YORK, NY 10027
Dentist
335 LENOX AVE
NEW YORK, NY 10027

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 Laquan Superville's NPI number?

The NPI number for Laquan Superville is 1811682842. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Laquan Superville located?

Laquan Superville practices at 335 Lenox Ave, New York, NY 10027. The listed phone number is (718) 450-4907.

What is Laquan Superville's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laquan Superville enrolled in Medicare?

Yes. Laquan Superville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laquan Superville was last updated on May 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.