OrganizationActive
Lotus Medical Management, LLC
NPI 1679143820 · Preferred Provider Organization · Holbrook, NY
Provider details
- NPI number
- 1679143820
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Winterjane Preston, Clinical Physician Practice Manager(631) 512-5500
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1419 Dolphin Ln
Holbrook, NY 11741-6213
Phone: (631) 512-5500
Fax: (631) 380-5305
Street-level locationGet directions
Mailing address
1419 Dolphin Ln
Holbrook, NY 11741-6213
Other names (DBA / former)
- Former legal business name
- Lotus Medical Management, LLC
Registry dates
- Enumerated
- 2021-06-30
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.