NPIMap

Organization Active NPI

Lakeview Medical Associates, P.C.

  • Family Medicine Physician
  • Budd Lake, NJ
National Provider Identifier
1730363128
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05955600 Issued in NJ
Legal business name
LAKEVIEW MEDICAL ASSOCIATES, P.C.
Practice address
125 U.S. Highway 46
Budd Lake, NJ 07828
Phone
(973) 691-1111
Fax
(973) 691-1198
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Nicholas Joseph LeggieroNPI 1972558534
Title
President
Phone
(973) 691-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05955600 NJ Primary

Addresses

Primary practice location

125 U.S. Highway 46
Budd Lake, NJ 07828

Mailing address

125 U.S. Highway 46
Budd Lake, NJ 07828
Phone (973) 691-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109000111 NJ Part B Supplier - Clinic/Group Practice 7810182573 Receives reassigned benefits from 2 practitioners
Practice locations: Budd Lake, NJ

National Provider Directory

National Provider Directory

Locations

125 US Highway 46
Budd Lake, NJ 07828
Phone (973) 691-1111

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1730363128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 U.S. HIGHWAY 46",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-691-1111",
            "fax_number": "973-691-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 U.S. HIGHWAY 46",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-691-1111",
            "fax_number": "973-691-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "LEGGIERO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-691-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05955600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.