Lakeview Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA065909 Issued in NJ

Legal business name

LAKEVIEW PEDIATRICS

Practice address

Lakeview Pediatrics
266 Lakeview Ave
Clifton, NJ 07011

Phone

(973) 340-6225

Fax

(973) 340-0665

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Malgorzata Kortowska, MDNPI 1427099829

Title

Physician Owner

Phone

(973) 340-6225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Malgorzata Modrzejewska Kortowska, MD

  • Pediatric Adolescent Medicine Physician
  • Clifton, NJ
  • NPI 1427099829
  NPD (past) Authorized official
• Marian Fahmy-Hawash, APN

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1225672298
  NPD (past)
• Adam Hadas, APN, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1902612948
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1356553093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAKEVIEW PEDIATRICS",
            "address_2": "266 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-340-6225",
            "fax_number": "973-340-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKEVIEW PEDIATRICS",
            "address_2": "266 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-340-6225",
            "fax_number": "973-340-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "KORTOWSKA",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "973-340-6225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA065909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7560401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissette Labol, LCSW
• Sean Louis Lager, M.D.
• Ashley Laico Boulos, O.D.
• Nicholas Laird
• Lakeview Medical Center, PC
• Jeffrey Fred Lakin, MD
• Judith Lang-Knutsen, AU.D
• Erica Alesandra Langford, RDN
• Thea Marrie Lapid, PT
• Kristen M Lara, MA, LAC

• Pediatrics Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pediatrics Physician in New Jersey

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