Organization Active NPI

Lall Medical, LLC

  • Family Medicine Physician
  • West Seneca, NY
National Provider Identifier
1346978848
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 11, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20221213000224 NY Part B Supplier - Clinic/Group Practice 5597134692 Receives reassigned benefits from 2 practitioners
Practice locations: West Seneca, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2267974Lall Medical LLC725 Orchard Park Rd - Suite a, West Seneca, NY 14224Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.