Provider Demographics
NPI:1255302790
Name:HAROLD S LAPPIN MD PA
Entity Type:Organization
Organization Name:HAROLD S LAPPIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-852-2220
Mailing Address - Street 1:500 WILLOW GROVE STREET
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840
Mailing Address - Country:US
Mailing Address - Phone:908-852-2220
Mailing Address - Fax:908-813-0255
Practice Address - Street 1:500 WILLOW GROVE STREET
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840
Practice Address - Country:US
Practice Address - Phone:908-852-2220
Practice Address - Fax:908-813-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA025482207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
40143OtherAETNA
NJ2936500Medicaid
QS007OtherOXFORD
NJ144145OtherMEDICARE ID - MEDICAL
QS007OtherOXFORD
C53537Medicare UPIN