Organization Active NPI

Lake Success Women's Medical Care

  • Diagnostic Radiology Physician
  • New Hyde Park, NY
National Provider Identifier
1851571251
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAKE SUCCESS WOMEN'S MEDICAL CARE
Practice address
1999 Marcus Ave
Suite 108
New Hyde Park, NY 11042-1017
Phone
(516) 466-3663
Fax
(516) 773-3201
NPI assigned
Nov 14, 2007
Last updated
Jun 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Robert A Jason, M.D.NPI 1295739175
Title
Medical Director
Phone
(516) 466-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 108
New Hyde Park, NY 11042-1017

Mailing address

1999 Marcus Ave
Suite 108
New Hyde Park, NY 11042-1017
Phone (516) 466-3663

National Provider Directory

National Provider Directory

Locations

1999 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 466-3663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1851571251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-466-3663",
            "fax_number": "516-773-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-466-3663",
            "fax_number": "516-773-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUCCESS WOMEN'S MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "JASON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-466-3663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.