Individual provider Active NPI

Michael Lamacchia, MD

  • Pediatric Infectious Diseases Physician
  • Paterson, NJ
National Provider Identifier
1528109394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
25MA06246800 Issued in NJ
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2544
Fax
(973) 754-2546
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 25MA06246800 NJ Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

227 S Van Dien Ave
Ridgewood, NJ 07450-5224
Phone (201) 445-1553

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
I20230510000112 NJ Practitioner - Pediatric Medicine 3577929900 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06246800NJMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Healthcare, Inc. CurrentSince Jan 24, 2023 Accepting new patients
St Josephs Medical Group PC CurrentSince Jan 24, 2023 Accepting new patients
MMC Pediatrics Faculty Practice Pediatric Infectious Diseases Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

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

11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

11 Getty Ave
Paterson, NJ 07503

703 Main St
Rm 35
Paterson, NJ 07503
Phone (973) 754-2544

1350 State Route 23
Wayne, NJ 07470
Phone (973) 628-4671

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528109394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S VAN DIEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505224",
            "telephone_number": "201-445-1553",
            "fax_number": "201-445-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2544",
            "fax_number": "973-754-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMACCHIA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NJ",
            "license": "25MA06246800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.