Active NPI
Raymnd Lanza, DO
- Geriatric Medicine (Internal Medicine) Physician
- Green Brook, NJ
National Provider Identifier
1093961237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 25MB03658300
- Legal business name
- RAYMND LANZA, DO
- Practice address
- 21 Fairway Dr
Green Brook, NJ 08812-2064 - Phone
- (732) 991-5020
- NPI assigned
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Lanza, D.O.
- Title
- Owner
- Phone
- (732) 991-5020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MB03658300 | NJ | Primary |
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
21 Fairway Dr
Green Brook, NJ 08812-2064
Mailing address
21 Fairway Dr
Green Brook, NJ 08812-2064
Phone (732) 991-5020
Other names 1
- Raymond Lanza, DO
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drraylanza@direct.practicefusion.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | drraylanza@direct.practicefusion.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
853 Park Ave
Elizabeth, NJ 07208
Phone (201) 352-1334
Interoperability endpoints
- drraylanza@direct.practicefusion.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Elizabeth, NJ
- NPI 1992715825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1093961237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FAIRWAY DR",
"city": "GREEN BROOK",
"state": "NJ",
"postal_code": "088122064",
"telephone_number": "732-991-5020",
"fax_number": "732-399-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FAIRWAY DR",
"city": "GREEN BROOK",
"state": "NJ",
"postal_code": "088122064",
"telephone_number": "732-991-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMND LANZA, DO",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-07",
"last_updated": "2023-09-14",
"certification_date": "2021-05-28",
"status": "A",
"authorized_official_last_name": "LANZA",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-991-5020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MB03658300",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drraylanza@direct.practicefusion.com",
"affiliation": "N",
"endpointDescription": "private email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "440 Lighthouse Way",
"city": "Sanibel",
"state": "FL",
"country_code": "US",
"postal_code": "339573904",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drraylanza@direct.practicefusion.com",
"affiliation": "N",
"endpointDescription": "emr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "440 Lighthouse Way",
"city": "Sanibel",
"state": "FL",
"country_code": "US",
"postal_code": "339573904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Raymond Lanza, DO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.