Debbie Lack

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

L00521577756692 Issued in NJ

Practice address

127 Ayers CT
Ste F2
Teaneck, NJ 07666-5152

Phone

(201) 471-1034

NPI assigned

Oct 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1952851495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AYERS CT",
            "address_2": "STE F2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665152",
            "telephone_number": "201-471-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 AYERS CT",
            "address_2": "STE F2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665152",
            "telephone_number": "201-471-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACK",
        "first_name": "DEBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "L00521577756692",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "821012965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis G Krug
• Mark Kurian, PHARM D
• Constance Kwarteng, PHARMACIST
• Hannah Labruno
• Elzbieta Lachmann, MS
• Bihari Lal, MD
• Chaye Lamm Warburg, DPS, OTR
• Felicia W Lamptey, MA, EDD
• Rachel Landa Langer, OD
• David Benjamin Landers, M.D.

• Non-emergency Medical Transport (VAN) in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.