Organization Active NPI

Lincoln Endocrinology, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Lincoln, NE
National Provider Identifier
1457533218
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21574 Issued in NE
Legal business name
LINCOLN ENDOCRINOLOGY, LLC
Practice address
7555 S 57TH St
Suite 2
Lincoln, NE 68516-6663
Phone
(402) 437-0660
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Jalal S Nafach, M.D.
Title
Owner
Phone
(402) 437-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 21574 NE Primary

Addresses

Primary practice location

7555 S 57TH St
Suite 2
Lincoln, NE 68516-6663

Mailing address

7555 S 57TH St
Suite 2
Lincoln, NE 68516-6663

Other identifiers 1

IdentifierTypeStateIssuer
47070103702MedicaidNE

National Provider Directory

National Provider Directory

Locations

7555 S 57th St
Ste 2
Lincoln, NE 68516
Phone (402) 421-6110

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1457533218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 S 57TH ST",
            "address_2": "SUITE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 S 57TH ST",
            "address_2": "SUITE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166663",
            "telephone_number": "402-437-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "NAFACH",
        "authorized_official_first_name": "JALAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-437-0660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NE",
            "license": "21574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070103702",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.