Active NPI
Marc Lashley, M.D.
- Pediatrics Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 174891
- Practice address
- 167 E Merrick Rd
Valley Stream, NY 11580-5925 - Phone
- (516) 825-3030
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 174891 | NY | Primary |
Addresses
Primary practice location
167 E Merrick Rd
Valley Stream, NY 11580-5925
Mailing address
986 Clark PL
Woodmere, NY 11598-1429
Phone (516) 295-9283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627196 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220318001793 | NY | Practitioner - Pediatric Medicine | 6901029818 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allied Physicians Group, PLLC
Practice addresses (Care Compare)
11412 Beach Channel Dr
Rockaway Park, NY 11694-2212
Phone (718) 474-3375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Allied Physicians Group, PLLC | Pediatrics | Current | Accepting new patients |
Locations
34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000
11412 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-6021
167 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 360-6466
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- marclashley@mai.allscriptsdirect.net
- marc.lashley.1@29151.direct.athenahealth.com
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1922040070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "986 CLARK PL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981429",
"telephone_number": "516-295-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 E MERRICK RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805925",
"telephone_number": "516-825-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHLEY",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "174891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01627196",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.