Active NPIIndividual provider

Dr. Michael J Lally, DNP

Nurse Anesthetist, Certified Registered in Brick, New Jersey

NPI Number1912639584
Practice location
425 Jack Martin Blvd, Brick, NJ 08724-7732
Fax
—
Last updated
June 30, 2022

Michael Joseph Lally is a Nurse Anesthetist, Certified Registered based in Brick, NJ. Michael Joseph Lally practices in Brick, NJ and has the professional credentials of DNP. The NPI Number for Michael Joseph Lally is 1912639584 and holds a License No. 26NJ01328900 (NJ). The current practice location address for Michael Joseph Lally is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 516-945-3000.

Provider Profile Details

NPI Number
1912639584
Provider Name
Michael Joseph Lally
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone Number
516-945-3000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2022
Last Update Date
June 30, 2022
Certification Date
June 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
Zip
08724-7732
Phone Number
516-945-3000
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
15 Drum CT
Howell, NJ 07731-1655
City
Howell
State
NJ
Zip
07731-1655
Phone Number
732-221-0905

License Information

License Number
26NJ01328900
License State
NJ
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael J Lally, DNP?

The NPI number of Dr. Michael J Lally, DNP is 1912639584. It was assigned on June 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Lally, DNP?

Dr. Michael J Lally, DNP is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NJ01328900.

Where does Dr. Michael J Lally, DNP practice?

The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 516-945-3000 (phone).

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 1912639584 directly on the NPPES registry website.

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