Individual provider Active NPI

Eustace Lauriston Lashley, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1841383700
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
140842 Issued in NY
Practice address
1847 Bedford Ave
Brooklyn, NY 11225-5005
Phone
(718) 282-0100
Fax
(718) 693-8317
NPI assigned
Oct 2, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 140842 NY
Internal Medicine Physician 207R00000X 140842 NY Primary

Addresses

Primary practice location

1847 Bedford Ave
Brooklyn, NY 11225-5005

Mailing address

PO Box 250142
Brooklyn, NY 11225-0142
Phone (718) 282-0100

Other identifiers 1

IdentifierTypeStateIssuer
01091565MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000743 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 8921021361 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Howard University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Maple St
Brooklyn, NY 11225-5002
Phone (718) 282-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Feb 13, 2011 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MVHS Inc CurrentSince Nov 18, 2010 Accepting new patients
MVHS Inc CurrentSince Nov 18, 2010 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine CurrentSince Feb 1, 1997 Accepting new patients
Cyrus a Murray MD PastSince Jan 31, 2021 Accepting new patients
KBJ Emergency Medicine FPP Emergency Medicine Past Accepting new patients
Ny Total Medical Care, P.C. Internal Medicine Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: eul9013@direct.nyp.org
  • Direct secure messaging: eustacelashley@1784.mdlanddirect.com
  • Direct secure messaging: eustacelashley@mai.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1841383700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250142",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112250142",
            "telephone_number": "718-282-0100",
            "fax_number": "718-693-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255005",
            "telephone_number": "718-282-0100",
            "fax_number": "718-693-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHLEY",
        "first_name": "EUSTACE",
        "middle_name": "LAURISTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "140842",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.