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LAURELTON MEDICAL PHYSICIANS PLLC
NPI 1902216229
Clinic/Center in Laurelton, NY

Active since May 08, 2014
22414 MERRICK BLVD, LAURELTON, NY 11413(718) 949-6433(718) 949-0331 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Dec 1, 2025 (2 updates tracked since 2025).

About Laurelton Medical Physicians Pllc NPPES

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

LAURELTON MEDICAL PHYSICIANS PLLC (NPI 1902216229), doing business as Laurelton Medical Center, is a healthcare organization registered as a clinic/center in Laurelton, New York and active in the NPI registry since May 2014. The organization lists Richard Watson, Owner, as its authorized official.

NPPES Registry Identity

NPI1902216229
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAURELTON MEDICAL PHYSICIANS PLLC
Location Address22414 MERRICK BLVDLaurelton, NY 11413-2023
Mailing Address22414 Merrick BlvdLaurelton, NY 11413-2023 · (718) 949-6433 · Fax (718) 949-0331
Phone(718) 949-6433
Fax(718) 949-0331
Organization SubpartNo
Authorized OfficialRichard WatsonOwner · (718) 949-6433
Enumeration DateMay 8, 2014
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1902216229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 178587
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 178587 (NY)
22414 MERRICK BLVD, Laurelton, NY 11413
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Other Names 1

Doing Business AsLaurelton Medical Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurelton Medical Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Laurelton Medical Physicians PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Pia Gardner, MD
Pediatric Medicine
NPI 1639133812
88-31 55TH AVENUE SUITE 201
Elmhurst, NY 11373
(718) 899-6600
✔ PECOS7.9 mi
Michelle Jackson Petersen, NP
Nurse Practitioner
NPI 1205548443
2322 30TH RD STE 1A
Astoria, NY 11102
(667) 326-9198
✔ PECOS✔ Accepts Medicare11 mi
Ebony Baker
Nurse Practitioner
NPI 1417831967
220 E 42ND ST FL 7
New York, NY 10017
(917) 608-0712
✔ PECOS13 mi
Kendy Rodriguez, AGNP
Nurse Practitioner
NPI 1720688047
1 GUSTAVE L LEVY PL
New York, NY 10029
(347) 228-4113
✔ PECOS13 mi
Lincoln Cox, MD
Emergency Medicine
NPI 1427156736
STONY BROOK UNIVERSITY HOSPITAL HSC, LEVEL 4, ROOM 080
Stony Brook, NY 11794
(631) 444-2478
✔ PECOS✔ Accepts Medicare37 mi
Richard Watson, MD
Emergency Medicine
NPI 1962472886
30 E 15TH ST
Chicago Heights, IL 60411
(312) 206-1064
✔ PECOS✔ Accepts Medicare727 mi
Adrienne Burrows, MD
Internal Medicine
NPI 1649347667
2001 SANTA MONICA BLVD STE 1265W
Santa Monica, CA 90404
(424) 888-6298
✔ PECOS✔ Accepts Medicare2,478 mi

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 Laurelton Medical Physicians PLLC's NPI number?

The NPI number for Laurelton Medical Physicians PLLC is 1902216229. It was assigned to this organization in the NPPES registry on May 8, 2014. The provider is doing business as Laurelton Medical Center.

Where is Laurelton Medical Physicians PLLC located?

Laurelton Medical Physicians PLLC is located at 22414 Merrick Blvd, Laurelton, NY 11413. The listed phone number is (718) 949-6433.

What is Laurelton Medical Physicians PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Laurelton Medical Physicians PLLC enrolled in Medicare?

Yes. Laurelton Medical Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laurelton Medical Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Laurelton Medical Physicians PLLC. 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. The largest specialties are Nurse Practitioner (3), Emergency Medicine (2) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Laurelton Medical Physicians PLLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.