Richard Benjamin Lacki, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1273201 Issued in NY

Practice address

154 Prospect Ave
Plattsburgh, NY 12901-1302

Phone

(518) 563-5440

Fax

(518) 563-1206

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anita Bodrogi D.O.

  • General Practice Physician
  • Plattsburgh, NY
  • NPI 1699962977
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1942275680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PROSPECT AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011302",
            "telephone_number": "518-563-5440",
            "fax_number": "518-563-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 PROSPECT AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011302",
            "telephone_number": "518-563-5440",
            "fax_number": "518-563-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKI",
        "first_name": "RICHARD",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1273201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00559435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Labombard, RN
• Monique Labombard
• Suzanne Laborde, FNP
• Alyssa Jean Lacey, FNP
• Michael David Lack, O.D.
• Hallie Laduke
• Michael L Ladwig, M.D.
• Elisa Lafave, PHARMD
• Carolyn Lafleur, MD
• Sandra D. Lafontaine

• Family Medicine Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.