Active NPI
Lall Medical, LLC
- Family Medicine Physician
- West Seneca, NY
National Provider Identifier
1346978848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LALL MEDICAL, LLC
- Practice address
- 725 Orchard Park Rd Ste a
West Seneca, NY 14224-3352 - Phone
- (716) 675-1001
- Fax
- (716) 675-3832
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Nati
- Title
- Credentialing
- Phone
- (716) 206-1501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
725 Orchard Park Rd Ste a
West Seneca, NY 14224-3352
Mailing address
725 Orchard Park Rd Ste a
West Seneca, NY 14224-3352
Phone (716) 675-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2267974 | Lall Medical LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- West Seneca, NY
- NPI 1811626260
-
- Family Medicine Physician
- West Seneca, NY
- NPI 1023495561
-
- Neuromusculoskeletal Medicine & OMM Physician
- West Seneca, NY
- NPI 1679550370
-
- Adult Medicine Physician
- West Seneca, NY
- NPI 1730166448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1346978848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ORCHARD PARK RD STE A",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243352",
"telephone_number": "716-675-1001",
"fax_number": "716-675-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ORCHARD PARK RD STE A",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243352",
"telephone_number": "716-675-1001",
"fax_number": "716-675-3832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LALL MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "NATI",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "716-206-1501"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.