Nicole L Lacz Diagnostic Radiology
20 High St, Nutley, NJ 07110-1132


Nicole L Lacz is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1306052246. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1153599055. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is MONTCLAIR RADIOLOGICAL ASSOC PA. The address is 20 High St, Nutley, NJ 07110-1132. The zip code is 07110.


Nicole L Lacz · 20 High St, Nutley, NJ 07110-1132

Nation Provider ID 1306052246
PAC ID by PECOS 1153599055
Professional Enrollment ID I20110720000451
Last Name LACZ
First Name NICOLE
Middle Name L
Gender F
Medical School Name UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 2004
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty MONTCLAIR RADIOLOGICAL ASSOC PA
Phone Number 9732841881
Group Practice PAC ID 3274507447
Number of Group Practice Members 16
Address 20 HIGH ST
NUTLEY, NJ 071101132
Claims Based Hospital Affiliation Claim Control Number (CCN): 310017
Legal Business Name: CHILTON MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 310015
Legal Business Name: MORRISTOWN MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Montclair Radiological Assoc Pa · Medicare Physician

Name Address Specialty
Denise Mcfadden 116 Park St, Montclair, NJ 07042-2930 DIAGNOSTIC RADIOLOGY
Brett Ferdinand 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Ross Mondshine 116 Park St, Montclair, NJ 07042-2930 DIAGNOSTIC RADIOLOGY
Lisa Bash 116 Park St, Montclair, NJ 07042-2930 DIAGNOSTIC RADIOLOGY
Konstantin Krepkin 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Michael Pollack 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Sarah Dodge 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Jessica Torrente 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Stuart Moses 116 Park St, Montclair, NJ 07042-2930 DIAGNOSTIC RADIOLOGY
Daniel Levy 116 Park St, Montclair, NJ 07042-2930 DIAGNOSTIC RADIOLOGY
Mala Shah 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Anuj Tolia 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Patrick Hines 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY

Zip 07110 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Sarah Dodge 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Anuj Tolia 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Konstantin Krepkin 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Patrick Hines 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Michael Pollack 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Andrew Kim 85 Franklin Ave, Nutley, NJ 07110-3273 DIAGNOSTIC RADIOLOGY
Jessica Torrente 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Brett Ferdinand 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY
Mala Shah 20 High St, Nutley, NJ 07110-1132 DIAGNOSTIC RADIOLOGY

Zip 07110 · Medicare Physician

Name Address Specialty
George Zazzali 670 Franklin Ave, Nutley, NJ 07110-1259 PHYSICAL MEDICINE AND REHABILITATION
Stephanie Arteta 228 Franklin Ave, Nutley, NJ 07110-4700 NURSE PRACTITIONER
Thomas Testa 591 Franklin Ave, Nutley, NJ 07110-1252 PODIATRY
Stephen Ducey 45 Franklin Ave, Nutley, NJ 07110-3224 ORTHOPEDIC SURGERY
Walter Shurminsky 420 Centre St, Nutley, NJ 07110-1635 OPTOMETRY
Monique Dzendzera 582 Franklin Ave, Nutley, NJ 07110-1253 PHYSICAL THERAPY
Joshua Goldschmidt 261 Franklin Ave, Nutley, NJ 07110-2767 OPTOMETRY
Felicia Gardner 155 Chestnut St, Nutley, NJ 07110-2311 CLINICAL SOCIAL WORKER
George Farion 87 Franklin Ave, Nutley, NJ 07110-3234 INTERNAL MEDICINE
Joseph Scarpelli 80 Bloomfield Ave, Nutley, NJ 07110-3141 CHIROPRACTIC
Joseph Brignola 181 Franklin Ave, Nutley, NJ 07110-3820 INTERNAL MEDICINE
Cristina Salazar 187 Washington Ave, Nutley, NJ 07110-1980 PHYSICAL THERAPY
Anthony Califano 359 Centre St, Nutley, NJ 07110-2791 INTERNAL MEDICINE
Alan Goodman 115 Franklin Ave, Nutley, NJ 07110-2924 ALLERGY/IMMUNOLOGY
Joseph Demayo 187 Chestnut St, Nutley, NJ 07110-2311 FAMILY PRACTICE
Jennifer Sampson 363 Centre St, Nutley, NJ 07110-4706 CLINICAL SOCIAL WORKER
Zach Cogavin 123 Franklin Ave, Nutley, NJ 07110-2924 PHYSICAL THERAPY
James Silvestri 363 Centre St, Nutley, NJ 07110-4706 CLINICAL SOCIAL WORKER
Robert Richardson 181 Franklin Ave, Nutley, NJ 07110-2900 INTERNAL MEDICINE
Michael Giuliano 622 Franklin Ave, Nutley, NJ 07110-1247 FAMILY PRACTICE