Amy Laktash

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.17597-NP Issued in OH

Practice address

148 E 38TH St
New York, NY 10016-2607

Phone

(844) 359-8363

Fax

(833) 955-3592

NPI assigned

Jul 16, 2015

Last updated

Jan 27, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alaktash331213@direct.ccf.org
• Direct secure messaging: amy.laktash.1@25522.direct.athenahealth.com

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.

• Seen Medical Group, P.a.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1831944370

  OH

  Medicare reassignment
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Flyte Medical of California PC

  • Obesity Medicine (Preventive Medicine) Physician
  • New Canaan, CT
  • NPI 1043058738
  NPD (past)
• Flyte Medical PC

  • Obesity Medicine (Preventive Medicine) Physician
  • New Canaan, CT
  • NPI 1992372403
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1720462989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 OVERWOOD RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443133905",
            "telephone_number": "330-212-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162607",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Grove St",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068405325",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKTASH",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.17597-NP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "10517",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310734",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP025815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex B Lakoju, MA, MFT
• Alan Lakritz, D.C.
• Jason Lakritz, DPT
• Susan Laks, MSSLPPPC
• Mallika Lakshman, MHC-LP, NCC
• Amita Lal, LMSW
• Kunal Lal, DDS , MS
• Rudhra Lal, NP
• Shantanu Lal, D.D.S.
• Sonali Lal, MD

• Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.