THOMAS ROSSER LAKE MD NPI 1003881277

NPI Information

  • NPI: 1003881277
  • Provider Name: THOMAS ROSSER LAKE, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 MONMOUTH RD
    OAKHURST, NJ
    ZIP 07755
  • Phone: (732) 531-5445

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NPI Details

Thomas Rosser Lake, MD is a colon rectal surgery in Oakhurst, NJ with 30 years of experience. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Thomas Rosser Lake, MD NPI is 1003881277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 MONMOUTH RD
OAKHURST, NJ
ZIP 07755-515
Phone: (732) 531-5445
Fax: (732) 531-1776

The NPI 1003881277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Injection of agent into vein to assess blood flow of skin graft or flap (HCPCS:15860)
  • Diagnostic exam of anus using an endoscope (HCPCS:46600)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Partial removal of large bowel and reattachment to rectum using an endoscope (HCPCS:44207)
  • Partial release of large bowel and partial removal of large bowel using an endoscope (HCPCS:44213)
  • Release of large bowel from spleen and abdominal wall with partial removal of large bowel (HCPCS:44139)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of rectum and lower large bowel using an endoscope (HCPCS:45300)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colonoscopy (HCPCS:NAN13)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal Surgery25MA07084700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H59701MEDICARE UPINNEW JERSEY
2637073MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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