Brett Coleman Lastra, RN, BSN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

26NR17447600 Issued in NJ

Practice address

1104 Teaneck Rd
Teaneck, NJ 07666-4800

Phone

(201) 833-2400

Fax

(201) 837-0193

NPI assigned

Mar 31, 2018

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1417453358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ALDEN PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311622",
            "telephone_number": "201-697-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664800",
            "telephone_number": "201-833-2400",
            "fax_number": "201-837-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Manhattan Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100275250",
            "country_code": "US",
            "telephone_number": "212-222-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTRA",
        "first_name": "BRETT",
        "middle_name": "COLEMAN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "691840",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "691840",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NJ",
            "license": "26NR17447600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Larocco, M.D.
• Eric Larson
• Essie M Larson, PH.D.
• Laser Dentistry for Children (Pediatric Dentistry of Teaneck)
• Lasting Impressions Dentistry LLC
• Gary Latour, P.T.
• Rosa N Lavergne, PH.D.
• Anna Janna Lavotshkin, MD
• Monica Sharnise Lawrence-Chambers, RN
• Charles Nash Lawson, MD

• Infection Control Registered Nurse in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Infection Control Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.