Jaclyn Lasita, RN, PNP is a
Nurse Practitioner - Pediatrics based in Blue Point, New York. Jaclyn Lasita is licensed to practice in New York (license number F383584) and her current practice location is
263 Blue Point Ave, Blue Point, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 419-6737.
NPI number for Jaclyn Lasita is 1235790577 and her current mailing address is 63 Tarpon Rd, Rocky Point, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235790577.
Provider's Profile
Full Name | Jaclyn Lasita |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 263 Blue Point Ave, Blue Point, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235790577
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Jaclyn Lasita such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235790577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 745257 (New York) | Secondary |
163WP0200X | Registered Nurse - Pediatrics | 745257 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | F383584 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Lasita is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaclyn Lasita, RN, PNP 63 Tarpon Rd, Rocky Point, NY 11778-9579 Ph: (631) 740-0769 | Jaclyn Lasita, RN, PNP 263 Blue Point Ave, Blue Point, NY 11715-1224 Ph: (631) 419-6737 |
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