Active NPI
Michal Lasowsky
- Specialist
- Passaic, NJ
National Provider Identifier
1548880644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3647895
- Practice address
- 1 Idaho St
Passaic, NJ 07055-3336 - Phone
- (973) 815-0857
- NPI assigned
- Apr 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3647895 | NY | Primary |
Addresses
Primary practice location
1 Idaho St
Passaic, NJ 07055-3336
Mailing address
1 Idaho St
Passaic, NJ 07055-3336
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3647895 | NY | MD | Specialist |
Networks
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1548880644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 IDAHO ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 IDAHO ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553336",
"telephone_number": "973-815-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASOWSKY",
"first_name": "MICHAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "3647895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.