Individual provider Active NPI

Pamela Lachs, PA-C

  • Physician Assistant
  • Garden City, NY
National Provider Identifier
1629507629
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020816-1 Issued in NY
Practice address
400 Garden City PLZ Ste 111
Garden City, NY 11530-3336
Phone
(516) 246-8800
Fax
(516) 559-4617
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020816-1 NY Primary

Addresses

Primary practice location

400 Garden City PLZ Ste 111
Garden City, NY 11530-3336

Mailing address

83 Koehl St
Massapequa Park, NY 11762-2212

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807003104 NY Practitioner - Physician Assistant 3476824608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020816NYMDClinical Psychologist
020816-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Dermatology, PC Past Accepting new patients
NS Arora Dermatology PLLC PastSince Jul 17, 2023 Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1629507629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 KOEHL ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GARDEN CITY PLZ STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303336",
            "telephone_number": "516-246-8800",
            "fax_number": "516-559-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHS",
        "first_name": "PAMELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020816-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.