Organization Active NPI

Margaret S. Lally, LLC

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1144409434
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD037362E Issued in PA
Legal business name
MARGARET S. LALLY, LLC
Practice address
1382 Old Freeport Rd
First Floor Rear
Pittsburgh, PA 15238-3159
Phone
(412) 967-1192
Fax
(412) 967-1195
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Margaret Sue Lally, M.D.NPI 1104858166
Title
Dermatologist
Phone
(412) 967-1192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD037362E PA Primary

Addresses

Primary practice location

1382 Old Freeport Rd
First Floor Rear
Pittsburgh, PA 15238-3159

Mailing address

1382 Old Freeport Rd
First Floor Rear
Pittsburgh, PA 15238-3159
Phone (412) 967-1192

Other identifiers 1

IdentifierTypeStateIssuer
1445668OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001234 PA Part B Supplier - Clinic/Group Practice 4486647351 Receives reassigned benefits from 6 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1382 Old Freeport Rd
Pittsburgh, PA 15238
Phone (412) 359-5115

1382 Old Freeport Rd
Rear
Pittsburgh, PA 15238
Phone (412) 967-1192

1382 Old Freeport Rd
Ste 1AB
Pittsburgh, PA 15238

1380 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 967-1192

1382 Old Freeport Rd
Ste 1
Pittsburgh, PA 15238
Phone (412) 967-1192

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1144409434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 OLD FREEPORT RD",
            "address_2": "FIRST FLOOR REAR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383159",
            "telephone_number": "412-967-1192",
            "fax_number": "412-967-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 OLD FREEPORT RD",
            "address_2": "FIRST FLOOR REAR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383159",
            "telephone_number": "412-967-1192",
            "fax_number": "412-967-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET S. LALLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "412-967-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD037362E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1445668",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.