MR. MICHAEL ROGER LACE PA
NPI 1578693040
Physician Assistant in Bronx, NY

Q: What is Michael Lace's NPI number?

The NPI number for Michael Lace is 1578693040. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Michael Lace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Lace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 06, 2007

111 E 210TH ST, BRONX, NY 10467(718) 920-5795 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Michael Roger Lace Pa NPPES

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

MR. MICHAEL ROGER LACE PA (NPI 1578693040) is an individual physician assistant in Bronx, New York, licensed in New York (009906) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1578693040

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MICHAEL ROGER LACECredential: PA

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address49 Iroquois DrBrightwaters, NY 11718-1210 · (516) 380-7088

Phone(718) 920-5795

Sole ProprietorNo

Enumeration DateMarch 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578693040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 009906

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

111 E 210TH ST, Bronx, NY 10467

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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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)