Lsa

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

261QR0401X Issued in NY

Legal business name

LSA

Practice address

1300 Avenue P
Brooklyn, NY 11229-1106

Phone

(718) 645-9183

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Ertuana Jorges, CASAC G

Title

Director

Phone

(973) 342-9106

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1790145852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291106",
            "telephone_number": "718-645-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291106",
            "telephone_number": "718-645-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "JORGES",
        "authorized_official_first_name": "ERTUANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-342-9106",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CASAC G"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "261QR0401X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74902217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LRS Medical Associates, P.C.
• LS Drugs, LLC
• LS Glasses Corp
• LS Licensed Behavior Analysts PLLC
• LS Medical Supply Inc
• Lsa Recovery Inc
• Lslat Inc
• LSR Advanced Medical Care PLLC
• LSR Advanced Medical Care PLLC
• LSV Services Inc

• Exclusive Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.