Individual provider Active NPI

Joseph Aloysius La Nasa Jr., MD

  • Specialist
  • Metairie, LA
National Provider Identifier
1821090853
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
010968 Issued in LA
Practice address
4720 S I 10 Service Rd W
Suite 100
Metairie, LA 70001-7404
Phone
(504) 988-8100
Fax
(504) 988-8101
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010968 LA Primary

Addresses

Primary practice location

4720 S I 10 Service Rd W
Suite 100
Metairie, LA 70001-7404

Mailing address

1430 Tulane Ave
SL-42
New Orleans, LA 70112-2632
Phone (504) 988-5274

Other identifiers 1

IdentifierTypeStateIssuer
1130214MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20051020000748 LA Practitioner - Urology 7113943994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010968LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Sep 9, 2012 Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Sep 9, 2012 Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients
New Fino LLC PastSince Nov 21, 2021 Accepting new patients

Locations

4720 S I 10 Svc Rd W
Ste 100
Metairie, LA 70001
Phone (504) 454-2165

2025 Gravier St
New Orleans, LA 70112
Phone (504) 412-1580

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#22
New Orleans, LA 70112

1430 Tulane Ave
#42
New Orleans, LA 70112
Phone (504) 988-2750

Organizations & group practices 4

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1821090853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-42",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5274",
            "fax_number": "504-988-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S I 10 SERVICE RD W",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017404",
            "telephone_number": "504-988-8100",
            "fax_number": "504-988-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA NASA",
        "first_name": "JOSEPH",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "010968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.