Dr Michael Joseph Lally, DNP | |
425 Jack Martin Blvd, Brick, NJ 08724-7732 | |
(516) 945-3000 | |
Not Available |
Full Name | Dr Michael Joseph Lally |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 425 Jack Martin Blvd, Brick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912639584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NJ01328900 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Jersey Shore Anesthesiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538190764 PECOS PAC ID: 9830003052 Enrollment ID: O20031113000003 |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Entity Name | Parkway Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
Mailing Address | Practice Location Address |
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Dr Michael Joseph Lally, DNP 15 Drum Ct, Howell, NJ 07731-1655 Ph: (732) 221-0905 | Dr Michael Joseph Lally, DNP 425 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (516) 945-3000 |
Kristina Hershey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 | |
Brandee Mancuso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 | |
Maria Dona Kaszycki, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 888-240-1793 | |
Mr. Jeremiah Ramirez Pinca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 | |
William Jonathan Bogdon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 | |
William Joseph Mclaughlin, DNP, APN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 |