Stacey Lisa Lachs, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00211500 Issued in NJ

Practice address

10 Stanford CT
West Orange, NJ 07052-2024

Phone

(908) 718-1497

NPI assigned

Oct 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1184707606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STANFORD CT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522024",
            "telephone_number": "908-718-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STANFORD CT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522024",
            "telephone_number": "908-718-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHS",
        "first_name": "STACEY",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00211500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devendra Kurani, MD
• Jolly M Kuruvilla
• Alyssa Hope Kutyla
• Steven C Labarbera, M.S. CCC-SLP
• Kelli Labashosky, DO
• Burt Michael Lacivita, M.S. OTR
• Gina Lackey Diggs, B.S., CNC
• Lewis Thomas Ladocsi, MD
• Bernadette Cinthia Lafond, MA, CCC, SLP
• Victoria Sunil Lal, M.D.

• Medical Physician Assistant in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.