Active NPI
Lawrence S. Meyers, M.D.
- Dermatology Physician
- Berkeley Heights, NJ
National Provider Identifier
1861541146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA04357100
- Practice address
- 1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 273-4300
- Fax
- (908) 790-6576
- NPI assigned
- Jan 9, 2007
- Last updated
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA04357100 | NJ | Primary |
| Procedural Dermatology Physician | 207NS0135X | 25MA04357100 | NJ | |
| Dermatopathology Physician | 207ND0900X | MA04357100 | NJ |
Addresses
Primary practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Mailing address
150 Floral Ave
New Providence, NJ 07974-1557
Phone (908) 273-4300
Other names 1
- Dr. Larry S. Nijaki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA04357100 | NJ | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Meyers | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1861541146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 FLORAL AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741557",
"telephone_number": "908-273-4300",
"fax_number": "908-790-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300",
"fax_number": "908-790-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "LAWRENCE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA04357100",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NJ",
"license": "25MA04357100",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NJ",
"license": "MA04357100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARRY",
"last_name": "NIJAKI",
"middle_name": "S.",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.