Active NPI
Adam Halladay Lackey, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MA10411900
- Practice address
- 3577 W 13 Mile Rd
Suite 402
Royal Oak, MI 48073-6710 - Phone
- (248) 551-9910
- Fax
- (248) 551-9912
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA10411900 | NJ | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 257557 | NY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25MA10411900 | NJ | Primary |
Addresses
Primary practice location
3577 W 13 Mile Rd
Suite 402
Royal Oak, MI 48073-6710
Mailing address
3 Executive Dr Ste 400
Somerset, NJ 08873-4007
Phone (732) 369-5994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Virginia School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2616
201 Lyons Ave
Newark, NJ 07112-2027
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
414 Grand St
Jersey City, NJ 07302-4240
519 Broadway
Bayonne, NJ 07002-3713
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Jersey City Medical Center
- Cooperman Barnabas Medical Center
- Clara Maass Medical Center
- Newark Beth Israel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10411900 | NJ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 257557 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Surgery | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
519 Broadway
Ste 3600
Bayonne, NJ 07002
Phone (551) 214-3540
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
101 Old Short Hills Rd
Ste 302
West Orange, NJ 07052
Phone (973) 322-6200
Interoperability endpoints
- alackey46007@epicdirect.rwjbh.org
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.
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1922145291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EXECUTIVE DR STE 400",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734007",
"telephone_number": "732-369-5994",
"fax_number": "732-369-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 W 13 MILE RD",
"address_2": "SUITE 402",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710",
"telephone_number": "248-551-9910",
"fax_number": "248-551-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "ADAM",
"middle_name": "HALLADAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA10411900",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "257557",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "25MA10411900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.