Active NPI
Richard C Lacy, M.D.
- Specialist
- New York, NY
National Provider Identifier
1467511915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 189693
- Practice address
- 125 E. 74TH Street
Suite 1a
New York, NY 10021 - Phone
- (212) 860-4940
- Fax
- (212) 369-2101
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 189693 | NY | Primary |
Addresses
Primary practice location
125 E. 74TH Street
Suite 1a
New York, NY 10021
Mailing address
125 E. 74TH Street
Suite 1a
New York, NY 10021
Phone (212) 860-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051026000053 | NY | Practitioner - Psychiatry | 4587681937 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
125 E 74TH St
Apt 1a
New York, NY 10021-3583
Phone (212) 860-4940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Gandler, M.D., P.C. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- New York, NY
- NPI 1710282363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1467511915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E. 74TH STREET",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-860-4940",
"fax_number": "212-369-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E. 74TH STREET",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-860-4940",
"fax_number": "212-369-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "RICHARD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "189693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.