Provider Demographics
NPI:1699936344
Name:DAVID LESSING MD FACS LLC
Entity type:Organization
Organization Name:DAVID LESSING MD FACS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-226-8900
Mailing Address - Street 1:2509 PARK AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5300
Mailing Address - Country:US
Mailing Address - Phone:908-226-8900
Mailing Address - Fax:
Practice Address - Street 1:2509 PARK AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5300
Practice Address - Country:US
Practice Address - Phone:908-226-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25 MA04790300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA80657Medicare UPIN
NJLE179380Medicare PIN