Paulette Taka Lanneaux, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00443400 Issued in NJ

Practice address

140 Belmont Ave
Suite 102
Belleville, NJ 07109-1018

Phone

(973) 751-7870

Fax

(973) 751-7875

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBJGAD/Endpoint/CBJGAD

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.

• Rd Medical Professional Services PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1811643166

  NJ

  Medicare reassignment NPD
• Roger Keshav MD PA

  • Nephrology Physician
  • Belleville, NJ
  • NPI 1104294909
  NPD

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1508292525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "address_2": "SUITE 102",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091018",
            "telephone_number": "973-751-7870",
            "fax_number": "973-751-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "address_2": "SUITE 102",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091018",
            "telephone_number": "973-751-7870",
            "fax_number": "973-751-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNEAUX",
        "first_name": "PAULETTE",
        "middle_name": "TAKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00443400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Lai
• Allison Lam, MD
• Isaac Lambert
• Eugene Ryan Reyes Landingin, PT
• Michael J Landolfi, D.O.
• Jessica Rochelle Lansky
• Jocelyn Lao, MD
• Virginia Irene Lay, M.D.
• Rhea Coreen Le Blanc, APN
• Lalaine Leano, PT

• Nurse Practitioner in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.