Michelle Laski, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00708100 Issued in NJ

Practice address

103 18TH Ave
Elmwood Park, NJ 07407-3409

Phone

(201) 727-9330

Fax

(201) 425-4527

NPI assigned

May 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1609168400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 18TH AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073409",
            "telephone_number": "201-727-9330",
            "fax_number": "201-425-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 18TH AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073409",
            "telephone_number": "201-727-9330",
            "fax_number": "201-425-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKI",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26N011515900",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00708100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Kim, DPT
• Yeonsoo Kim
• Danielle Labianco, MED, ATC
• Olivia Lada, SLP
• Leonid Lamper, MD
• James Lee
• PO-Shing Lee, M.D.
• Leonid Lamper MD PC
• Liberty Healthcare Services
• Livewell Pain Management

• Adult Health Nurse Practitioner in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.