Jordan Kail Lasky, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015817 Issued in NY

Practice address

6000 Brockton Dr Ste 101
Lockport, NY 14094-9273

Phone

(716) 795-0077

Fax

(716) 795-0088

NPI assigned

Aug 21, 2012

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

Other names 1

• Jordan Kail Christie Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Physician Assistant

Practice roles

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.

• Amandeep Pal MD PLLC

  • Family Medicine Physician
  • Lockport, NY
  • NPI 1801291307
  Medicare reassignment
• Michael a Vasquez, MD, PC

  • Vascular Surgery Physician
  • Amherst, NY
  • NPI 1588749816
  Medicare reassignment
• Kenneth S. Zimmerman, MD

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1235510181
  NPD (past)
• Mivas, P.C.

  • Acute Care Nurse Practitioner
  • Amherst, NY
  • NPI 1265143630
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780932822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 UNION RD STE 218",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254251",
            "telephone_number": "716-206-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR STE 101",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273",
            "telephone_number": "716-795-0077",
            "fax_number": "716-795-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKY",
        "first_name": "JORDAN",
        "middle_name": "KAIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "CHRISTIE",
            "middle_name": "KAIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Lynn Lamarca, M.A.
• Chelsea Lampka
• Stacy Lynn Lampman, M.A.
• William Lawrence Langton, DDS
• Alexa Lasher-Warren
• Jennifer Laspada
• Natalie Marie Latuga, PHARM.D.
• Kayla Leathers
• Melanie Alissa Leberman, RPAC
• Wayne Allen Leblanc, PA-C

• Physician Assistant in Lockport, NY
• Providers in Lockport, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.