Individual provider Active NPI

Vincent Manalang Lacsina, PT

  • Physical Therapist
  • Carteret, NJ
National Provider Identifier
1265461347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023587 Issued in NY
Practice address
72 Leber Ave
Carteret, NJ 07008-1941
Phone
(732) 231-6922
Fax
(732) 231-6922
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023587 NY Primary

Addresses

Primary practice location

72 Leber Ave
Carteret, NJ 07008-1941

Mailing address

72 Leber Ave
Carteret, NJ 07008-1941
Phone (732) 231-6922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204002023 NJ Practitioner - Physical Therapist in Private Practice 5193029593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strength Physical Therapy LLCGroup PAC ID 2567741960, 2 clinicians

Practice addresses (Care Compare)

236 E Westfield Ave
Suite 302
Roselle Park, NJ 07204-2084
Phone (908) 445-4524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023587NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Physical Therapy LLC CurrentSince Feb 15, 2017 Accepting new patients

Locations

236 E Westfield Ave
Roselle Park, NJ 07204
Phone (908) 245-8222

236 E Westfield Ave
Ste 302
Roselle Park, NJ 07204
Phone (908) 445-4524

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265461347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LEBER AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081941",
            "telephone_number": "732-231-6922",
            "fax_number": "732-231-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 LEBER AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081941",
            "telephone_number": "732-231-6922",
            "fax_number": "732-231-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSINA",
        "first_name": "VINCENT",
        "middle_name": "MANALANG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.