Nicole Lynn Lacz, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA08793500 Issued in NJ

Practice address

20 High St
Nutley, NJ 07110-1132

Phone

(973) 879-3964

Fax

(973) 284-0269

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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.

• Ancillary Services of Practice Associates PA

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1144858408

  Diagnostic Radiology, NJ

  Medicare reassignment Care Compare group NPD
• Montclair Radiological Assoc ,PA

  • Diagnostic Radiology Physician
  • Nutley, NJ
  • NPI 1194810531

  Diagnostic Radiology, NJ

  Medicare reassignment NPD
• Atlantic Imaging Services LLC

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1972114361

  Diagnostic Radiology

  NPD
• Hunterdon Ambulatory Services LLC

  • Radiology Clinic/Center
  • Bridgewater, NJ
  • NPI 1184149031
  NPD
• Women'S Healthcare Imaging, Corp.

  • Radiology Clinic/Center
  • Union, NJ
  • NPI 1285880153
  NPD
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419

  Hospital

  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776

  Hospital

  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143

  Hospital

  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809

  Hospital

  Care Compare affiliation
• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Rutgers New Jersey Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ancillary Services of Practice Associates PA 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
• Overlook Medical Center Hospital, Summit, NJ, CCN 310051
• Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2023.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1306052246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE",
            "address_2": "STE 360",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121800",
            "telephone_number": "973-284-0020",
            "fax_number": "973-284-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101132",
            "telephone_number": "973-879-3964",
            "fax_number": "973-284-0269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 W Parkway",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441647",
            "country_code": "US",
            "telephone_number": "973-831-5089",
            "fax_number": "973-831-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACZ",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-11-14",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08793500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Kranis, PT, DPT
• Konstantin Krepkin, M.D.
• Krista Santos, LCSW LLC
• Elizabeth Kuriakose, PA-C
• Leat Kuzniar, N.D.
• Bridget Lalley
• Joshua Seth Landsman, DDS
• Alkies Lapas, D.O.
• Robert F Lardiere, DPM
• Lauren Martini OT

• All providers in Nutley, NJ
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.