Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lynn Lastig, MD

Individual provider Body Imaging Physician · NPI 1902868292

Jessica Lynn Lastig, MD is a Diagnostic Radiology in Great Neck, New York. Graduated from Virginia Commonwealth University, School of Medicine in 1987, 39 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group. Licensed in New York.

Years since qualifying
39
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

935 Northern Blvd Ste 200
Great Neck, NY 11021-5309
Phone: (516) 829-4414
Fax: (516) 829-5286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 177033 (NY)
Body Imaging Physician Taxonomy 2085B0100X · Licence 177033 (NY)

Record details

NPI number1902868292
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESJuly 2, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare