Active NPI
P Lalla, MD
- Internal Medicine Physician
- Union, NJ
National Provider Identifier
1508924630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25819
- Practice address
- 1547 Stuyvesant Ave
Union, NJ 07083-5341 - Phone
- (908) 687-7101
- Fax
- (973) 669-9691
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25819 | NJ | Primary |
Addresses
Primary practice location
1547 Stuyvesant Ave
Union, NJ 07083-5341
Mailing address
1547 Stuyvesant Ave
Union, NJ 07083-5341
Phone (908) 687-7101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25819 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1508924630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 STUYVESANT AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835341",
"telephone_number": "908-687-7101",
"fax_number": "973-669-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 STUYVESANT AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835341",
"telephone_number": "908-687-7101",
"fax_number": "973-669-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLA",
"first_name": "P",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.