Laser Eye Practice of Brooklyn, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

225254 Issued in NY

Legal business name

LASER EYE PRACTICE OF BROOKLYN, PLLC

Practice address

100 Livingston St
Brooklyn, NY 11201-5023

Phone

(718) 254-9263

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Stanley Dello Russo, MDNPI 1912011826

Title

Medical Director

Phone

(201) 384-7333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey S Dello Russo, MD

  • Ophthalmology Physician
  • Bergenfield, NJ
  • NPI 1912011826
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1235328493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333",
            "fax_number": "201-384-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015023",
            "telephone_number": "718-254-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER EYE PRACTICE OF BROOKLYN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "DELLO RUSSO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-384-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "225254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lasante Health Center Inc
• Lasante Health Center Inc
• Laser and Microsurgery, PC
• Laser and Vein Center
• Laser Center of Brooklyn
• Samy Lasheen, MD
• Larisa Lashiker, M.D.,
• Dzheymz Eliasovich Lashkin, M.D
• Monica Movelle Lashley-Hinkson, FNP
• Cherise Lashley

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.