OrganizationActive
Lakeside Medical Practice PLLC
NPI 1518720291 · Clinic/Center · Lakewood, NY
Lakeside Medical Practice PLLC is a Clinic/Center organization in Lakewood, NY (NPI 1518720291).
Provider details
- NPI number
- 1518720291
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Snow, Ceo(716) 526-1183
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
133 Fairmount Avenue
Lakewood, NY 14750-1948
Phone: (716) 526-1183
Fax: (716) 526-1165
Approximate (ZIP-level) locationGet directions
Mailing address
133 E. Fairmount Avenue
Lakewood, NY 14750-1948
Other names (DBA / former)
- Doing business as
- Lakeside Medical Practice
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2025-08-07
- Certified
- 2024-02-05
Frequently asked questions
- What is Lakeside Medical Practice PLLC's NPI number?
- Lakeside Medical Practice PLLC's National Provider Identifier (NPI) is 1518720291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Medical Practice PLLC?
- Lakeside Medical Practice PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Medical Practice PLLC located?
- Lakeside Medical Practice PLLC's practice location on file with NPPES is 133 Fairmount Avenue, Lakewood, NY 14750-1948.
- What is Lakeside Medical Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Medical Practice PLLC is (716) 526-1183.
- Who is the authorized official for Lakeside Medical Practice PLLC?
- The authorized official listed on Lakeside Medical Practice PLLC's NPPES record is Alicia Snow, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Medical Practice PLLC's NPI active?
- Yes — Lakeside Medical Practice PLLC's NPI (1518720291) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.