| Lakeview Medical Associates, P.c. | |
|
125 U.s. Highway 46 Budd Lake NJ 07828 | |
| (973) 691-1111 | |
| (973) 691-1198 |
| Full Name | Lakeview Medical Associates, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 125 U.s. Highway 46, Budd Lake, New Jersey |
| Authorized Official Name and Position | Nicholas Joseph Leggiero (PRESIDENT) |
| Authorized Official Contact | 9736911111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Medical Associates, P.c. 125 U.s. Highway 46 Budd Lake NJ 07828 Ph: (973) 691-1111 | Lakeview Medical Associates, P.c. 125 U.s. Highway 46 Budd Lake NJ 07828 Ph: (973) 691-1111 |
| NPI Number | 1730363128 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Medicare PECOS PAC ID | 7810182573 |
|---|---|
| Medicare Enrollment ID | O20101109000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730363128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05955600 (New Jersey) | Primary |
| Provider Name | Jamie K Pietka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790710333 PECOS PAC ID: 7911984745 Enrollment ID: I20070222000080 |
| Provider Name | Nicholas J Leggiero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972558534 PECOS PAC ID: 6800081563 Enrollment ID: I20101109000151 |
James R. Smith, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Rt 46 Village Green Annex, Budd Lake, NJ 07828 Phone: 973-426-8484 Fax: 973-426-8486 |