Active NPI
Jaime Lynn Dreyer-Laezza, M.D.
- Pediatrics Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301087960
- Practice address
- 44199 Dequindre Rd
Suite 222
Troy, MI 48085-1128 - Phone
- (248) 879-5570
- NPI assigned
- May 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301087960 | MI | Primary |
Addresses
Primary practice location
44199 Dequindre Rd
Suite 222
Troy, MI 48085-1128
Mailing address
633 South Blvd E Ste 2400
Rochester Hills, MI 48307-5471
Phone (248) 879-5570
Other practice location 1
50720 Schoenherr Road
Shelby Township, MI 48315-1128
Phone (586) 566-2340
Other practice location 2
633 E. South Blvd Suite 2400
Rochester Hills, MI 48307-1128
Phone (248) 879-5570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467660779 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Consultants of Troy, P.C. | Pediatrics | Current | Accepting new patients |
Locations
633 South Blvd E
Ste 2400
Rochester Hills, MI 48307
Phone (248) 879-5570
50720 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 566-2340
44199 Dequindre Rd
Ste 222
Troy, MI 48085
Phone (248) 879-5570
Interoperability endpoints
- jaime.dreyer-laezza.1@14995.direct.athenahealth.com
- https://api.platform.athenahealth.com/14995/brand/1/csg/1/fhir/r4
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.
-
- Pediatrics Physician
- Rochester Hills, MI
- NPI 1003821661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1467660779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 SOUTH BLVD E STE 2400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075471",
"telephone_number": "248-879-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44199 DEQUINDRE RD",
"address_2": "SUITE 222",
"city": "TROY",
"state": "MI",
"postal_code": "480851128",
"telephone_number": "248-879-5570"
}
],
"practiceLocations": [
{
"address_1": "50720 Schoenherr Road",
"address_purpose": "LOCATION",
"city": "Shelby Township",
"state": "MI",
"postal_code": "483151128",
"country_code": "US",
"telephone_number": "586-566-2340",
"fax_number": "586-566-4425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "633 E. South Blvd Suite 2400",
"address_purpose": "LOCATION",
"city": "Rochester Hills",
"state": "MI",
"postal_code": "483071128",
"country_code": "US",
"telephone_number": "248-879-5570",
"fax_number": "248-879-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DREYER-LAEZZA",
"first_name": "JAIME",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301087960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467660779",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.