Lacey Medical Group, LLC
Family Medicine in Forked River, New Jersey
1487091369- Practice location
- 1044 Lacey RD Ste 9, Forked River, NJ 08731-1051
- Phone
- 609-693-0819
- Fax
- 609-971-0834
- Last updated
- October 12, 2023
Lacey Medical Group, LLC is a healthcare organization based in Forked River, NJ. Lacey Medical Group, LLC practices in Forked River, NJ. The NPI Number for Lacey Medical Group, LLC is 1487091369 and holds a License No. 25mb07677400 (NJ). The current practice location address for Lacey Medical Group, LLC is 1044 Lacey RD Ste 9, Forked River, NJ 08731-1051 and can be reached out via phone at 609-693-0819 and via fax at 609-971-0834.
Provider Profile Details
- NPI Number
- 1487091369
- Provider Name
- Lacey Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 1044 Lacey RD Ste 9, Forked River, NJ 08731-1051
- Phone Number
- 609-693-0819
- Fax Number
- 609-971-0834
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Ann Dipaolo, DO · Owner · 609-693-0819
- Provider Enumeration Date
- May 31, 2013
- Last Update Date
- October 12, 2023
- Certification Date
- October 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1044 Lacey RD Ste 9
Forked River, NJ 08731-1051 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-1051
- Phone Number
- 609-693-0819
- Fax Number
- 609-971-0834
Provider Business Mailing Address Details
- Address
- 1044 Lacey RD Ste 9
Forked River, NJ 08731-1051 - City
- Forked River
- State
- NJ
- Zip
- 08731-1051
- Phone Number
- 609-693-0819
License Information
- License Number
- 25mb07677400
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Forked River, NJ
View all Family Medicine providers in Forked River →- Ann M Dipaolo, DOFamily Medicine · NPI 1285604041
- Dr. Dennis E Novak, MDFamily Medicine · NPI 1194881094
- Dr. Elizabeth A Packi, DOFamily Medicine · NPI 1689202905
- Dr. John J Mosko, DOFamily Medicine · NPI 1093240293
- Dr. Lisa A Kassenoff, DOFamily Medicine · NPI 1912960436
- Dr. Nicole G Babushkin, MDFamily Medicine · NPI 1912495284
Frequently Asked Questions
What is the NPI number of Lacey Medical Group, LLC?
The NPI number of Lacey Medical Group, LLC is 1487091369. It was assigned on May 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Lacey Medical Group, LLC?
Lacey Medical Group, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25mb07677400.
Where does Lacey Medical Group, LLC practice?
The practice location is 1044 Lacey RD Ste 9, Forked River, NJ 08731-1051. The office can be reached at 609-693-0819 (phone) or 609-971-0834 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487091369 directly on the NPPES registry website.