Michael Henry Lake

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00695100 Issued in NJ

Practice address

1 David Brainerd Dr
Monroe Township, NJ 08831-1927

Phone

(732) 521-6400

NPI assigned

Jul 28, 2016

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springpoint at Monroe Village IncGroup PAC ID 1658452412, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Springpoint at Monroe Village, Inc.

  • Physical Therapist
  • Monroe Township, NJ
  • NPI 1942830989

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1427501113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 CYPRESS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165274",
            "telephone_number": "908-240-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAVID BRAINERD DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311927",
            "telephone_number": "732-521-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "MICHAEL",
        "middle_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00695100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chirag Kotwal, LICENSED OPTICIAN
• Caitlyn Krempa, PA-C
• Liju M Kurien, PT
• Phyllis Frank Kushins, M.D.
• Diana Maud Ladden, LCSW
• George Lambrinos, DMD
• Ma. Ursula Nacua Lamoco, OTR
• Stacey Alyse Lampert, LCSW
• Kristina Lanzoni, AUD
• Jessica Beth Lapreta, OTR

• Occupational Therapist in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.