Individual provider Active NPI

Anna Janna Lavotshkin, MD

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1467560797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54741MA Issued in NJ
Practice address
757 Teaneck Rd
Teaneck, NJ 07666
Phone
(201) 833-2288
Fax
(201) 833-4441
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54741MA NJ Primary

Addresses

Primary practice location

757 Teaneck Rd
Teaneck, NJ 07666

Mailing address

PO Box 499
Teaneck, NJ 07666
Phone (201) 833-2288

Other identifiers 1

IdentifierTypeStateIssuer
6499902MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000348 NJ Practitioner - Internal MedicinePractitioner - General Practice 6709061088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

757 Teaneck Rd
Teaneck, NJ 07666-4241
Phone (201) 833-2288

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • CareOne At Teaneck Nursing home, Teaneck, NJ, CCN 315502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54741MANJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna J. Lavotshkin, MD, PC Internal Medicine CurrentSince Aug 28, 1992 Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Anna J.Lavotshkin, M.D., P.C. Past Accepting new patients

Locations

757 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2288

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

757 Teaneck Rd
Ste B
Teaneck, NJ 07666

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467560797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-833-2288",
            "fax_number": "201-833-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-833-2288",
            "fax_number": "201-833-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOTSHKIN",
        "first_name": "ANNA",
        "middle_name": "JANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "54741MA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6499902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.