Active NPI
Richard Barry Lask, M.D.
- Internal Medicine Physician
- White Plains, NY
National Provider Identifier
1194797753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 121295
- Practice address
- 170 Maple Ave
Suite G1
White Plains, NY 10601-4710 - Phone
- (914) 683-0443
- Fax
- (914) 683-8620
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 121295 | NY | Primary |
Addresses
Primary practice location
170 Maple Ave
Suite G1
White Plains, NY 10601-4710
Mailing address
PO Box 1722
White Plains, NY 10602-1722
Phone (914) 683-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00733220 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100902000000 | NY | Practitioner - Internal Medicine | 6901920693 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Medical, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- White Plains, NY
- NPI 1417100298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1194797753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1722",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106021722",
"telephone_number": "914-683-0443",
"fax_number": "914-683-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MAPLE AVE",
"address_2": "SUITE G1",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014710",
"telephone_number": "914-683-0443",
"fax_number": "914-683-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASK",
"first_name": "RICHARD",
"middle_name": "BARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "121295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00733220",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.