David M Lackner, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD032464E Issued in PA

Practice address

2107 Aqueduct LN
Cherry Hill, NJ 08002-1932

Phone

(215) 259-3500

Fax

(215) 754-4440

NPI assigned

Jul 30, 2013

Last updated

Jul 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Royal Operations LLC

  dba Royal Healthgate Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Trenton, NJ
  • NPI 1730198292
  NPD Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1649602897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AQUEDUCT LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021932",
            "telephone_number": "215-259-3500",
            "fax_number": "215-754-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AQUEDUCT LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021932",
            "telephone_number": "215-259-3500",
            "fax_number": "215-754-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKNER",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD032464E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hekyung Kwak, RPH
• Diana Kwiecinski, MSW, LCSW
• Danelle Kwis, MPT
• Lizbeth Labora, PT
• Christopher A Labra, OT
• Andrea Carol Lafleur
• Charles Lagos
• Christopher Lai, DR.
• Kathryn Laine
• Michael Joseph Laino, PTA

• Geriatric Medicine (Internal Medicine) Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.