Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Lauren M Gucciardi

Individual provider Physician Assistant · NPI 1376787747

Miss. Lauren M Gucciardi is a Physician Assistant in Staten Island, New York. Qualified in 2002, 24 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

256 Mason Ave Bldg C
Staten Island, NY 10305-3408
Phone: (718) 226-6400
Fax: (718) 226-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009157-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 009157 (NY)

Record details

NPI number1376787747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2009
Last updated in NPPESFebruary 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Staten Island