| Carlos Lastra, MD | |
|
254 Easton Ave, New Brunswick, NJ 08901-1766 | |
| (732) 339-7870 | |
| (732) 745-1632 |
| Full Name | Carlos Lastra |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 41 Years |
| Location | 254 Easton Ave, New Brunswick, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144249137 | NPI | - | NPPES |
| 7295804 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 25MA05442600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Peters University Hospital | 9931012382 | 124 |
| Entity Name | Saint Peters University Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924834 PECOS PAC ID: 9931012382 Enrollment ID: O20040112000043 |
| Entity Name | Saint Peter's Specialty Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861894982 PECOS PAC ID: 8426373952 Enrollment ID: O20150204001582 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Lastra, MD 254 Easton Ave, New Brunswick, NJ 08901-1766 Ph: () - | Carlos Lastra, MD 254 Easton Ave, New Brunswick, NJ 08901-1766 Ph: (732) 339-7870 |
Janti Chaaban, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 254 Easton Ave, Pediatric Neurology, New Brunswick, NJ 08901 Phone: 732-745-8600 | |
Shelly Rishty, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St Ste 6100, New Brunswick, NJ 08901 Phone: 732-235-7733 | |
Roger C Cheng, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St Ste 6200, New Brunswick, NJ 08901 Phone: 732-235-3288 | |
Stephanie Enner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 89 French St, New Brunswick, NJ 08901 Phone: 732-235-9523 | |
Dr. Emad Nourollah-zadeh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Robert Wood Johnson University Hospital, 125 Paterson Street,, New Brunswick, NJ 08901 Phone: 732-235-7041 | |
Shan Chen, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St, Suite 6100, New Brunswick, NJ 08901 Phone: 732-235-7733 Fax: 732-235-7041 |