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DR. JONATHAN IAN LAKE M.D.
NPI 1568857084
Pathology - Anatomic Pathology & Clinical Pathology in Philadelphia, PA

Active since April 01, 2015
85.48/100
CMS Quality Rating
3400 SPRUCE ST, 100 CENTREX, PHILADELPHIA, PA 19104(215) 662-2200 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Ian Lake M.d. NPPES

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

DR. JONATHAN IAN LAKE M.D. (NPI 1568857084) is an individual anatomic pathology & clinical pathology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD472772) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1568857084
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JONATHAN IAN LAKECredential: M.D.
Location Address3400 SPRUCE ST, 100 CENTREXPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-2200
Phone(215) 662-2200
Sole ProprietorNo
Enumeration DateApril 1, 2015
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1568857084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in PA · MD472772
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3400 SPRUCE ST, Philadelphia, PA 19104
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
MONIQUE LORRAINE ROBERTS SALAHUB
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000

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 Jonathan Lake's NPI number?

The NPI number for Jonathan Lake is 1568857084. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Jonathan Lake located?

Jonathan Lake practices at 3400 Spruce St 100 Centrex, Philadelphia, PA 19104. The listed phone number is (215) 662-2200.

What is Jonathan Lake's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Jonathan Lake was last updated on March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.