Active NPI
William J Lesner, MD
- Psychiatry Physician
- Lowell, MA
National Provider Identifier
1568430601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 46655
- Practice address
- 99 Church St
Lowell, MA 01852-2621 - Phone
- (978) 458-6282
- Fax
- (978) 441-9826
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 46655 | MA | Primary |
Addresses
Primary practice location
99 Church St
Lowell, MA 01852-2621
Mailing address
149 W Newton St
Boston, MA 02118-1204
Phone (978) 458-6282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J10814 | Other | MA | MEDICARE B |
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 |
|---|---|---|---|
| 46655 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1568430601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 W NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181204",
"telephone_number": "978-458-6282",
"fax_number": "978-441-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CHURCH ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522621",
"telephone_number": "978-458-6282",
"fax_number": "978-441-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESNER",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "46655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "J10814",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.