Active NPI
Lauren Kaczka-Weiss, D.O.
- Child & Adolescent Psychiatry Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- DO.000320
- Practice address
- 1440 Canal St # TB52
New Orleans, LA 70112-2703 - Phone
- (504) 988-7829
- Fax
- (504) 988-4264
- NPI assigned
- May 17, 2011
- Last updated
- Oct 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | DO.000320 | LA | Primary |
Addresses
Primary practice location
1440 Canal St # TB52
New Orleans, LA 70112-2703
Mailing address
1610 Route 88
FL 3
Brick, NJ 08724-3018
Phone (504) 988-7829
Other practice location 1
4000 Bienville St Ste G
New Orleans, LA 70119-5163
Phone (504) 988-0301
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 Route 33
Neptune, NJ 07753
3600 Route 66
FL 3
Neptune, NJ 07753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.000320 | LA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Multi-Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Multi-Specialty | Current | Accepting new patients |
Locations
1610 Route 88 W
Brick, NJ 08724
Phone (732) 295-6543
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1610 State Route 88
Fl 3
Wall Township, NJ 08724
Phone (732) 295-6543
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- lauren.kaczka-weiss@direct.hackensackmeridian.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Multi-Specialty
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Multi-Specialty
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1497048912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 ROUTE 88",
"address_2": "FL 3",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243018",
"telephone_number": "504-988-7829",
"fax_number": "504-988-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 CANAL ST # TB52",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122703",
"telephone_number": "504-988-7829",
"fax_number": "504-988-4264"
}
],
"practiceLocations": [
{
"address_1": "4000 Bienville St Ste G",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701195163",
"country_code": "US",
"telephone_number": "504-988-0301",
"fax_number": "504-988-0302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KACZKA-WEISS",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "DO.000320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.