Individual provider Active NPI

Gregory J Lawler, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • North Bergen, NJ
National Provider Identifier
1083657506
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MB06538700 Issued in NJ
Practice address
6233 JF Kennedy Blvd
North Bergen, NJ 07047-3451
Phone
(201) 758-7550
Fax
(201) 758-7549
NPI assigned
Jun 13, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MB06538700 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB06538700 NJ Primary

Addresses

Primary practice location

6233 JF Kennedy Blvd
North Bergen, NJ 07047-3451

Mailing address

6233 J.F. Kennedy Blvd.
North Bergen, NJ 07047
Phone (201) 758-7550

Other practice location 1

1117 US Highway 46
Suite 203
Clifton, NJ 07013-2449
Phone (201) 758-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000450 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 4981655180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1117 US Hwy 46
Suite 202a
Clifton, NJ 07013-2450
Phone (201) 758-7550

6233 JF Kennedy Blvd
North Bergen, NJ 07047-3451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB06538700NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Interventional Pain Management LLC CurrentSince Nov 22, 2016 Accepting new patients
North Fullerton Anesthesia, P.C. Past Accepting new patients
New Jersey Anesthesia Group, P.a. Pain Medicine Past Accepting new patients

Locations

1117 US Highway 46
Ste 202A
Clifton, NJ 07013
Phone (201) 758-7550

1117 US Highway 46
Ste 203
Clifton, NJ 07013
Phone (973) 365-2208

2333 Morris Ave
Ste A107
Union, NJ 07083
Phone (201) 758-7550

Interoperability endpoints

  • Direct secure messaging: glawler@2856.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083657506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 J.F. KENNEDY BLVD.",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-758-7550",
            "fax_number": "201-758-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 JF KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473451",
            "telephone_number": "201-758-7550",
            "fax_number": "201-758-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 US Highway 46",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132449",
            "country_code": "US",
            "telephone_number": "201-758-7550",
            "fax_number": "201-758-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MB06538700",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB06538700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.