Active NPI
George F. Lasker, MD/PHD
- Psychiatry Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D89477
- Practice address
- 3921 Bays Ferry TRL
Marietta, GA 30062-5294 - Phone
- (770) 827-3603
- NPI assigned
- Mar 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | D89477 | MD | Primary |
| General Practice Physician | 208D00000X | 1265894265 | CA |
Addresses
Primary practice location
3921 Bays Ferry TRL
Marietta, GA 30062-5294
Mailing address
600 N. Wolfe St.
Meyer 1-104
Baltimore, MD 21287
Phone (770) 827-3603
Other practice location 1
505 Parnassus Ave
Room 779 M
San Francisco, CA 94143-2204
Phone (415) 353-7500
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Tulane University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- John T Mather Memorial Hospital
Practice addresses (Care Compare)
100 Highlands Blvd
Suite 201
Port Jefferson, NY 11777-2320
Phone (631) 473-3877
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320
Hospital & facility affiliations
- John T Mather Memorial Hospital of Port Jefferson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323555 | NY | MD | Licensed Practical Nurse |
| D89477 | MD | MD | Psychiatry Physician |
| 1265894265 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Psychiatry | Current | Accepting new patients |
| John T. Mather Memorial Hospital | Psychiatry | Current | Accepting new patients |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Past | Accepting new patients |
Locations
125 Oakland Ave
Ste 303
Port Jefferson, NY 11777
Phone (631) 729-2140
100 Highlands Blvd
#201
Port Jefferson, NY 11777
Phone (631) 473-3877
100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Port Jefferson Station, NY
- NPI 1376642371
-
- Critical Care Medicine (Internal Medicine) Physician
- Port Jefferson, NY
- NPI 1467249334
-
- Obesity Medicine (Internal Medicine) Physician
- Port Jefferson, NY
- NPI 1366816894
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Port Jefferson, NY
- NPI 1922486182
-
- Psychiatry Physician
- Mount Sinai, NY
- NPI 1568774453
-
- Diagnostic Radiology Physician
- Port Jefferson, NY
- NPI 1891816070
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1265894265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N. WOLFE ST.",
"address_2": "MEYER 1-104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "770-827-3603",
"fax_number": "410-614-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 BAYS FERRY TRL",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625294",
"telephone_number": "770-827-3603"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_2": "Room 779 M",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-353-7500",
"fax_number": "415-353-2889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASKER",
"first_name": "GEORGE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "MD/PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D89477",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "1265894265",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.