Healthcare Provider Details

I. General information

NPI: 1336065523
Provider Name (Legal Business Name): JAY LACHMAN NP FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 LENOX ST
EDISON NJ
08817-3008
US

IV. Provider business mailing address

12 LENOX ST
EDISON NJ
08817-3008
US

V. Phone/Fax

Practice location:
  • Phone: 516-660-6057
  • Fax:
Mailing address:
  • Phone: 516-660-6057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAY LACHMAN
Title or Position: OWNER
Credential: NP
Phone: 516-660-6057