Individual provider Active NPI

Melodee Sue Lasky, MD

  • Family Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1730190133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA47991 Issued in NJ
Practice address
11 Bishop PL
Hurtado Health Center
New Brunswick, NJ 08901-1178
Phone
(732) 932-7402
Fax
(732) 932-1525
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA47991 NJ Primary

Addresses

Primary practice location

11 Bishop PL
Hurtado Health Center
New Brunswick, NJ 08901-1178

Mailing address

11 Bishop PL
Hurtado Health Center
New Brunswick, NJ 08901-1178
Phone (732) 932-7402

Other identifiers 1

IdentifierTypeStateIssuer
2322102MedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA47991NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Medical Center Family Medicine Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730190133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "address_2": "HURTADO HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "732-932-7402",
            "fax_number": "732-932-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "address_2": "HURTADO HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "732-932-7402",
            "fax_number": "732-932-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKY",
        "first_name": "MELODEE",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA47991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.