Active NPI
Lab Centers of America
- Occupational Medicine Clinic/Center
- Massapequa, NY
National Provider Identifier
1558299883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- LAB CENTERS OF AMERICA
- Practice address
- 200 Old Sunrise Hwy
Massapequa, NY 11758-5545 - Phone
- (516) 704-1390
- Fax
- (877) 485-4611
- NPI assigned
- May 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jewel T Pittman
- Title
- Owner
- Phone
- (856) 328-7074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
200 Old Sunrise Hwy
Massapequa, NY 11758-5545
Mailing address
525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Phone (877) 973-3378
Other practice location 1
55 Maple Ave Ste 306
Rockville Centre, NY 11570-4267
Phone (877) 973-3378
Other practice location 2
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (856) 328-7074
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2332351 | Lab Centers of America, LLC | Certificate of waiver | Oct 16, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1558299883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 ROUTE 73 N STE 104",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533422",
"telephone_number": "877-973-3378",
"fax_number": "862-418-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OLD SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585545",
"telephone_number": "516-704-1390",
"fax_number": "877-485-4611"
}
],
"practiceLocations": [
{
"address_1": "55 Maple Ave Ste 306",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115704267",
"country_code": "US",
"telephone_number": "877-973-3378",
"fax_number": "862-418-3445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 Route 73 N Ste 117",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080533422",
"country_code": "US",
"telephone_number": "856-328-7074",
"fax_number": "877-485-4611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LAB CENTERS OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-08",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "PITTMAN",
"authorized_official_first_name": "JEWEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-328-7074"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.