Organization Active NPI

Ronald J. Lancz,DPM P.a.

  • Podiatrist
  • Lakewood, NJ
National Provider Identifier
1447425590
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002201 Issued in NJ
Legal business name
RONALD J. LANCZ,DPM P.A.
Practice address
721 W Kennedy Blvd
Suite B5
Lakewood, NJ 08701-1255
Phone
(732) 364-4300
Fax
(732) 886-7363
NPI assigned
Apr 29, 2008
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Ronald J Lancz, DPMNPI 1619954302
Title
Owner
Phone
(732) 364-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Podiatrist 213E00000X MD002201 NJ Primary

Addresses

Primary practice location

721 W Kennedy Blvd
Suite B5
Lakewood, NJ 08701-1255

Mailing address

721 W Kennedy Blvd
Suite B5
Lakewood, NJ 08701-1255
Phone (732) 364-4300

Other identifiers 1

IdentifierTypeStateIssuer
5535204MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000096 NJ Part B Supplier - Clinic/Group Practice 5294938726 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory

Locations

105 River Ave
Ste 303
Lakewood, NJ 08701
Phone (718) 258-9572

721 W Kennedy Blvd
Ste B5
Lakewood, NJ 08701
Phone (732) 364-4300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1447425590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W KENNEDY BLVD",
            "address_2": "SUITE B5",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011255",
            "telephone_number": "732-364-4300",
            "fax_number": "732-886-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W KENNEDY BLVD",
            "address_2": "SUITE B5",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011255",
            "telephone_number": "732-364-4300",
            "fax_number": "732-886-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. LANCZ,DPM P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "LANCZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-364-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5535204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.