Individual provider Active NPI

Dena L Lacara, D.O.

  • Family Medicine Physician
  • Fairfield, NJ
National Provider Identifier
1790845238
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB76447 Issued in NH
Practice address
333 US Highway 46 # a
Fairfield, NJ 07004-2427
Phone
(973) 943-4300
Fax
(973) 227-3335
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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 MB76447 NH Primary

Addresses

Primary practice location

333 US Highway 46 # a
Fairfield, NJ 07004-2427

Mailing address

333 US Highway 46 # a
Building a
Fairfield, NJ 07004-2427
Phone (973) 943-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000046 NJ Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0042256182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Osteopathic Manipulative Medicine
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecca Integrated Medical Center, LLCGroup PAC ID 5496890691, 10 clinicians

Practice addresses (Care Compare)

333A Route 46 W
Suite 135
Fairfield, NJ 07004-2415
Phone (973) 943-4300

Hospital & facility affiliations

  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB76447NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mecca Integrated Medical Center, LLC CurrentSince Dec 11, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

333A Route 46 W
Ste 135
Fairfield, NJ 07004
Phone (973) 775-9380

333A US Highway 46
Fairfield, NJ 07004
Phone (973) 943-4300

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1790845238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 # A",
            "address_2": "BUILDING A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042427",
            "telephone_number": "973-943-4300",
            "fax_number": "973-227-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 # A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042427",
            "telephone_number": "973-943-4300",
            "fax_number": "973-227-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACARA",
        "first_name": "DENA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "MB76447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.