Lara T Bakhtiarian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP01034100 Issued in NJ

Practice address

101 Prosper Way Unit 4
Brick, NJ 08723-3539

Phone

(877) 425-7756

NPI assigned

Aug 19, 2026

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Clearsolutions Dermatology Group New Jersey

  • Dermatology Physician
  • Manchester Township, NJ
  • NPI 1831977024
  NPD (past)

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1710893854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EDISON AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243141",
            "telephone_number": "732-546-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPER WAY UNIT 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087233539",
            "telephone_number": "877-425-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTIARIAN",
        "first_name": "LARA",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP01034100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Badim, APN
• Elmer Bagay
• Francois Daniel Baillargeon, LCSW
• Brooke Baker
• Cassandra Baker
• Raisa Bakshiyev, M.D.
• Balance Chiropractic & Wellness Center, LLC
• Balance Medicine and Wellness
• Cierra Troy Ballard, LAC
• Cristina Simona Balogh

• Physician Assistant in Brick, NJ
• Providers in Brick, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.