Lacey Jaffe Adler
NPI 1790334639ActiveIndividual· Physician Assistant, Surgical· New York, NY
Physician Assistant, Surgical in New York, New York, licensed in NY, with an NPI issued in September 2019. Enrolled in Medicare as order and referring only - physician assistant. Polynovo North America LLC reported $196.89 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1790334639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 4, 2019 |
| Last updated in NPPES | Dec 1, 2023 |
| Certified by provider | Dec 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 024664 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Physician Assistant (NY) |
|---|
Industry payments (Open Payments)
- 2024$196.89 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Polynovo North America LLC | $196.89 | 1 |
What the 2024 payments were for
- Food and Beverage$196.89 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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