Individual provider Active NPI

Waleed S Lashin, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1477590644
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07809300 Issued in NJ
Practice address
1414 Main Ave
Clifton, NJ 07011
Phone
(973) 253-6000
Fax
(973) 427-4419
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07809300 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07809300 NJ

Addresses

Primary practice location

1414 Main Ave
Clifton, NJ 07011

Mailing address

1414 Main Ave
Clifton, NJ 07011-2157
Phone (973) 253-6000

Other identifiers 1

IdentifierTypeStateIssuer
0064394MedicaidNJ

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
I20050512000024 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5991745648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Geriatrics Practice, IncGroup PAC ID 5597767426, 5 clinicians

Practice addresses (Care Compare)

1414 Main Ave
Clifton, NJ 07011-2157
Phone (973) 253-6000

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Adoration Home Health Home health agency, Bayonne, NJ, CCN 317006
  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Geriatrics Practice, Inc CurrentSince May 2, 2005 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic LLC Past Accepting new patients

Locations

1414 Main Ave
Ste B
Clifton, NJ 07011
Phone (973) 253-6000

1414 Main Ave
Clifton, NJ 07011
Phone (973) 253-6000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Organizations & group practices 4

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 8

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1477590644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112157",
            "telephone_number": "973-253-6000",
            "fax_number": "973-253-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-253-6000",
            "fax_number": "973-427-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHIN",
        "first_name": "WALEED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07809300",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07809300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064394",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.