Active NPI
Charlyn Marie Laserna, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1992153787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 298829
- Practice address
- 1000 10TH Ave Ste 11G
New York, NY 10019-1147 - Phone
- (212) 523-8306
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- 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 | 298829 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave Ste 11G
New York, NY 10019-1147
Mailing address
505 W 37TH St Apt 206
New York, NY 10018-1127
Phone (409) 656-6066
Other practice location 1
6431 Fannin St
Suite JJL 310
Houston, TX 77030-1501
Phone (713) 500-5154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298829 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1992153787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W 37TH ST APT 206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100181127",
"telephone_number": "409-656-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE STE 11G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-523-8306"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St",
"address_2": "Suite JJL 310",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-5154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASERNA",
"first_name": "CHARLYN",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "298829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.