1. Home
  2. Directory
  3. New Jersey
  4. Forked River
  5. Family Medicine
  6. NPI Profile

LACEY MEDICAL GROUP, LLC
NPI 1487091369
Family Medicine in Forked River, NJ

Active since May 31, 2013CLIA 31D2069270 · Waiver
1044 LACEY RD STE 9, FORKED RIVER, NJ 08731(609) 693-0819(609) 971-0834 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY MEDICAL GROUP, LLC (NPI 1487091369) is a healthcare organization registered as a family medicine in Forked River, New Jersey and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Ann Dipaolo, Owner, as its authorized official.

NPPES Registry Identity

NPI1487091369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLACEY MEDICAL GROUP, LLC
Location Address1044 LACEY RD STE 9Forked River, NJ 08731-1051
Mailing Address1044 Lacey Rd Ste 9Forked River, NJ 08731-1051 · (609) 693-0819
Phone(609) 693-0819
Fax(609) 971-0834
Organization SubpartNo
Authorized OfficialAnn DipaoloOwner · (609) 693-0819
Enumeration DateMay 31, 2013
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1487091369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB07677400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1044 LACEY RD STE 9, Forked River, NJ 08731
Open in Google Maps ↗

Other Identifiers 1

Medicaid0052680NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2069270

Lacey Medical Group, LLC · Forked River, NJ
Active · expires Nov 19, 2027
CLIA Number31D2069270
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorAnn Dipaolo
Laboratory Phone(609) 693-0819
Laboratory LocationLacey Medical Group, LLC1044 Lacey Road Bldg B Ste 9, Forked River, NJ 08731
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN M DIPAOLO D.O.
Family Medicine
1044 LACEY RD STE 9
FORKED RIVER, NJ 08731
Ocean County (732) 349-8866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Medical Group, LLC's NPI number?

The NPI number for Lacey Medical Group, LLC is 1487091369. It was assigned to this organization in the NPPES registry on May 31, 2013.

Where is Lacey Medical Group, LLC located?

Lacey Medical Group, LLC is located at 1044 Lacey Rd Ste 9, Forked River, NJ 08731. The listed phone number is (609) 693-0819.

What is Lacey Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lacey Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2069270) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lacey Medical Group, LLC was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.