Individual provider Active NPI

Jenifer Lasman, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1629361126
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
278486 Issued in NY
Practice address
45 W 10TH St Apt 8H
New York, NY 10011-8733
Phone
(917) 406-9881
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 278486 NY Primary

Addresses

Primary practice location

45 W 10TH St Apt 8H
New York, NY 10011-8733

Mailing address

45 W 10TH St Apt 8H
New York, NY 10011-8733
Phone (917) 406-9881

Other practice location 1

62 Smith Hill Road
c/o Cindy Kluger
Airmont, NY 10952
Phone (845) 825-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029000922 NY Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Other (Physician)Practitioner - Hospitalist 7810121472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Suite 1
Glen Cove, NY 11542-2254
Phone (516) 674-1812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278486NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Oct 1, 2018 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

101 Saint Andrews Ln
Fl 1
Glen Cove, NY 11542
Phone (516) 674-1812

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jlasman66264@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1629361126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 10TH ST APT 8H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118733",
            "telephone_number": "917-406-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 10TH ST APT 8H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118733",
            "telephone_number": "917-406-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Smith Hill Road",
            "address_2": "c/o Cindy Kluger",
            "address_purpose": "LOCATION",
            "city": "Airmont",
            "state": "NY",
            "postal_code": "10952",
            "country_code": "US",
            "telephone_number": "845-825-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASMAN",
        "first_name": "JENIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "278486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.