Individual provider Active NPI

Lacey Nicole Kalb, MSED

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1699100321
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
769241 Issued in NY
Practice address
41 Perth Ave
New Rochelle, NY 10804-3547
Phone
(914) 260-5726
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 769241 NY Primary

Addresses

Primary practice location

41 Perth Ave
New Rochelle, NY 10804-3547

Mailing address

41 Perth Ave
New Rochelle, NY 10804-3547
Phone (914) 260-5726

Other identifiers 1

IdentifierTypeStateIssuer
769241OtherNYNEW YORK STATE CERTIFICATION

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
769241NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1699100321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PERTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043547",
            "telephone_number": "914-260-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PERTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043547",
            "telephone_number": "914-260-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALB",
        "first_name": "LACEY",
        "middle_name": "NICOLE",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "769241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE CERTIFICATION",
            "identifier": "769241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.