Pascack Emergency Services Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MA04640800 Issued in NJ

Legal business name

PASCACK EMERGENCY SERVICES INC

Practice address

250 Old Hook Rd
Westwood, NJ 07675-3123

Phone

(201) 358-3646

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Lastella, MDNPI 1588760953

Title

President

Phone

(201) 358-3646

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Joseph Lastella, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Westwood, NJ
  • NPI 1588760953
  NPD (past) Authorized official
• Jane Palumbo Lastella, PHD

  • Psychologist
  • Haworth, NJ
  • NPI 1013032689
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1689755373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILLIS DR",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241634",
            "telephone_number": "201-768-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753123",
            "telephone_number": "201-358-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCACK EMERGENCY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LASTELLA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-358-3646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA04640800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5407605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Park
• Kyungjin Park, L.AC
• Mark Park, DMD, MD
• Pascack Community Services
• Pascack Community Services, Inc.
• Pascack Hospital Physicians Services, P.a.
• Pascack Pediatric Associates LLC
• Pascack Physician Services
• Pascack Valley Hospital
• Pascack Valley Hospital LLC

• Emergency Medicine Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.