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MS. LAUREN TAYLOR TEDESCO P.A.
NPI 1972769578
Physician Assistant in Great Neck, NY

Active since August 03, 2008PECOS Enrolled
611 NORTHERN BLVD., GREAT NECK, NY 11021(516) 723-2663(516) 325-7192 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lauren Taylor Tedesco P.a. NPPES

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

MS. LAUREN TAYLOR TEDESCO P.A. (NPI 1972769578) is an individual physician assistant in Great Neck, New York, licensed in New York (012605) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972769578
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LAUREN TAYLOR TEDESCOCredential: P.A.
Location Address611 NORTHERN BLVD.Great Neck, NY 11021
Mailing Address611 Northern Blvd.Great Neck, NY 11021 · (516) 723-2663 · Fax (516) 325-7192
Phone(516) 723-2663
Fax(516) 325-7192
Sole ProprietorNo
Enumeration DateAugust 3, 2008
Last NPPES UpdateJune 4, 2015
✔ NPI 1972769578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 012605
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 012605-1 (NY)
611 NORTHERN BLVD., Great Neck, NY 11021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lauren Taylor Tedesco 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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.

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 Tedesco's NPI number?

The NPI number for Lauren Tedesco is 1972769578. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Where is Lauren Tedesco located?

Lauren Tedesco practices at 611 Northern Blvd., Great Neck, NY 11021. The listed phone number is (516) 723-2663.

What is Lauren Tedesco's specialty?

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

Is Lauren Tedesco enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lauren Tedesco was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.