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

Individual provider Physician Assistant · NPI 1578841045

Lacey M Herald, PA is a Physician Assistant in Teaneck, New Jersey. Qualified in 2011, 15 years ago. Practices with Allied Digestive Health LLC, a 278-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1086 Teaneck Rd Ste 4C
Teaneck, NJ 07666-4855
Phone: (201) 837-9449
Fax: (201) 578-1699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00259500 (NJ)

Record details

NPI number1578841045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 1, 2011
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Allied Digestive Health Llc — 278 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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