Individual provider Active NPI

Charles William Lasky, MD

  • Obstetrics & Gynecology Physician
  • Saratoga Springs, NY
National Provider Identifier
1629077292
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
113169 Issued in NY
Practice address
59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044
Phone
(518) 587-2400
Fax
(518) 581-0141
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 113169 NY Primary

Addresses

Primary practice location

59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044

Mailing address

59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044
Phone (518) 587-2400

Other identifiers 1

IdentifierTypeStateIssuer
00361028MedicaidNY

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

LicenseStateTypeSpecialty
113169NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1629077292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MYRTLE ST",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661044",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MYRTLE ST",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661044",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKY",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "113169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00361028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.