Paul John Lafergola, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD01918 Issued in NJ

Practice address

387 W Blackwell St
Dover, NJ 07801-2520

Phone

(973) 366-7676

Fax

(973) 442-1300

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1366447146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALVIN SLOAN AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824170",
            "telephone_number": "973-366-7676",
            "fax_number": "973-442-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012520",
            "telephone_number": "973-366-7676",
            "fax_number": "973-442-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFERGOLA",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0818402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Jeffrey Klein, DMD
• KND Development 59, LLC
• Amy Maxine Kotler, M.D.
• Benjamin Kreitman, DMD
• Matthew Eric Krupnick, M.D.
• Jody Lashen, R.D.,C.D.E
• Lawrence J Klein DMD LLC
• Teresita J Lawson, RPH
• Jason K Lee, DMD
• Latoya D Lee, MS

• Podiatrist in Dover, NJ
• Providers in Dover, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.