Active NPI
Lawrence C. Stabile, DPM
- Podiatrist
- Paterson, NJ
National Provider Identifier
1952357121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00236400
- Practice address
- 21 Mill St
Suite 3
Paterson, NJ 07501-1886 - Phone
- (973) 881-1115
- Fax
- (973) 881-8686
- NPI assigned
- May 26, 2006
- Last updated
- Oct 17, 2008
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00236400 | NJ | Primary |
Addresses
Primary practice location
21 Mill St
Suite 3
Paterson, NJ 07501-1886
Mailing address
21 Mill St
Suite 3
Paterson, NJ 07501-1886
Phone (973) 881-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7006501 | Medicaid | NJ |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Broadway
Paterson, NJ 07505-1115
Phone 97332112772739
21 Mill St
Suite 3
Paterson, NJ 07501-1886
Phone (973) 881-1115
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Falls Foot & Ankle Center, P.a. | Podiatrist | Current | Accepting new patients |
| Park Dental New Jersey PC | Past | Accepting new patients | |
| Paterson Division of Health | Past | Accepting new patients |
Locations
21 Mill St
Ste 3
Paterson, NJ 07501
Phone (973) 742-7275
Organizations & group practices 4
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.
-
- Podiatrist
- Paterson, NJ
- NPI 1144408105
-
- Public Health or Welfare Agency
- Paterson, NJ
- NPI 1801001300
-
- General Practice Dentistry
- Paterson, NJ
- NPI 1033039581
-
- State or Local Public Health Clinic/Center
- Paterson, NJ
- NPI 1306808373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1952357121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MILL ST",
"address_2": "SUITE 3",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075011886",
"telephone_number": "973-881-1115",
"fax_number": "973-881-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MILL ST",
"address_2": "SUITE 3",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075011886",
"telephone_number": "973-881-1115",
"fax_number": "973-881-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABILE",
"first_name": "LAWRENCE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00236400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7006501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
- St. Josephs Regional Medical Center
- St. Josephs Regional Medical Center
- St. Paul's Community Development Corporation
- St.Joseph's Medical Center Pharmacy Department
- St.Joseph's Regional Medical Center
- Elizabeth Stacom, PH.D.
- Dorothy Stansfield-Panzera, C.N.M
- Dawn M Starbinski, APRN, FNP, MSN, CLC
- Beth Stein, MD
- Eric Steinberg, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.