Ashley L Lake, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15120900 Issued in NJ

Practice address

257 US Highway 22
Green Brook, NJ 08812-1807

Phone

(732) 968-7878

NPI assigned

Aug 23, 2024

Last updated

Dec 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care PAGroup PAC ID 1658584008, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Family Care PA

  • Internal Medicine Physician
  • Green Brook, NJ
  • NPI 1275619413

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Family Care,P.a.

  • Urgent Care Clinic/Center
  • Green Brook, NJ
  • NPI 1225221989
  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1194558361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "908-672-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "732-968-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15120900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzan Y Khalil, MD
• Tae-Woo Kim
• Cassandra Lee Konecny, NP
• Brian R Kwiatkowski, D.D.S
• Stephane Myrtele Laguerre
• Annmarie R Lambert, P.A.-C
• Yu-Ping Lee, PA
• Leonard Siskin, P.a. (Siskin Family Chiropractic)
• Leonard Siskin, P.a. (Siskin Family Chiropractic)
• Live Comfort Home Care Inc

• Family Nurse Practitioner in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.