Lacey Family Medicine, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB06877400 Issued in NJ

Legal business name

LACEY FAMILY MEDICINE, L.L.C.

Practice address

833 Lacey Rd
Suite 6
Forked River, NJ 08731-1200

Phone

(609) 242-6700

Fax

(609) 242-6701

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Karen B Crawford

Title

Billing Supervisor

Phone

(732) 349-2795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Therese M Barry, D.O.

  • Family Medicine Physician
  • Forked River, NJ
  • NPI 1952359960
  Medicare reassignment NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376592931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LACEY RD",
            "address_2": "SUITE 6",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311200",
            "telephone_number": "609-242-6700",
            "fax_number": "609-242-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LACEY RD",
            "address_2": "SUITE 6",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311200",
            "telephone_number": "609-242-6700",
            "fax_number": "609-242-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY FAMILY MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "732-349-2795"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06877400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kulesza, OTR/L
• Joseph Kuna, DC
• Christine J. Kurnath, RNC, ANP
• Lacey Courier and Transportation Co, Inc (Lacey Transportation Company)
• Lacey Diagnostic Imaging, LLC.
• Lacey Medical Group, LLC
• Laceytownship First Aid Squad Inc
• Raquel Lambert, MSN, APN, PMHNP-BC
• Peter Lapis, M.D.
• Amanda Leadem, OT

• Family Medicine Physician in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.