Lawrence Grill Mdpa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAWRENCE GRILL MDPA

Practice address

1166 River Ave
Lakewood, NJ 08701-5600

Phone

(732) 367-8272

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kelly A Dennis

Title

Office Manager

Phone

(732) 367-8272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1275561326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-367-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-367-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE GRILL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-367-8272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frayda Laskin
• Shira Laskin, FNP
• Raymond James Lasko, D.C.
• Elisheva Last, MS, OTR/L
• Tehilla Laufer, SLP
• Esther Lax
• Joseph H Lax
• Moishe Lazar, LCSW
• Rochel Lazewnik, MS CCC-SLP
• Leah Dela Rosa P.C.

• Internal Medicine Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.