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Thomas Lake III in Hackensack, New Jersey

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Thomas Lake III has Colorectal Surgery (proctology) as his primary medical specialty. Their primary office is: 30 Prospect Ave in Hackensack, New Jersey.

They're a part of the: Hackensack Meridian Health Medical Group - Specialty Care Pc medical group which has around 1,070 members. You can call their office at 551-996-5045 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 1996 (around 28 years of experience). They are listed as doing telehealth appointments.


Thomas R Lake III Office Phone and Directions

Thomas Lake III
Hackensack Meridian Health Medical Group - Specialty Care Pc
30 Prospect Ave
Hackensack, New Jersey 07601
551-996-5045


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Phone: 551-996-5045


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Healthcare Info for Thomas Lake III

Medical School: Sorry, his university is not listed
Graduation Year: 1996
The Primary Medical Specialty for Thomas Lake III is listed as: Colorectal Surgery (proctology)
Approximate Years of Experience: 28
PAC (PECOS ID)#: 3173537727
NPI #: 1003881277
NPI Created On: 02/21/2006
NPI Last Updated Listed as: 02/04/2013
Primary Taxonomy Code: 208C00000X
License Number:
25MA07084700
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • AmeriHealth New Jersey
  • Blue Cross Blue Shield
  • AmeriHealth HMO, Inc.
  • Humana
  • Oscar Garden State Insurance Corporation
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English, Hebrew,Spanish, Spanish, Hindi.


Services and Procedures include:

  1. Diagnostic examination of the anus using an endoscope
  2. New patient office or other outpatient visit, typically 30 minutes
  3. New patient office or other outpatient visit, typically 45 minutes
  4. New patient office or other outpatient visit, typically 60 minutes
  5. Established patient office or other outpatient visit, typically 10 minutes
  6. Established patient office or other outpatient visit, typically 15 minutes
  7. Established patient office or other outpatient, visit typically 25 minutes
  8. Established patient office or other outpatient, visit typically 40 minutes
  9. Initial hospital inpatient care, typically 70 minutes per day
  10. Subsequent hospital inpatient care, typically 15 minutes per day
  11. Subsequent hospital inpatient care, typically 35 minutes per day
  12. Colorectal cancer screening; colonoscopy on individual at high risk
  13. Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

They took part in Medicare's Electronic Health Record Incentive Program which was designed to help move people over to electronic records and improve the systems that were already in place.
They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $32

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 787626843

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Energy

Name of Drug #1: Enseal X1

Drug or Biological: Device

Product Category #2: Wound Closure

Name Of Drug #2:: DERMABOND

Drug or Biological #3:: Device

Product Category #3: Biosurgical

Name of Drug: ETHICON


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 787626853

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Energy

Name of Drug #1: Megadyne

Drug or Biological: Device

Product Category #2: Energy

Name Of Drug #2:: ULTRA VAC


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 787626863

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Endo-Mechanical

Name of Drug #1: Echelon; Endopath


Payments Total: $31

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 800271609

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Surgical Endoscopy

Name of Drug #1: 4K CAMERA HEAD


Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 827362225

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Hernia Repair

Name of Drug #1: ProGrip


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 815771437

Being Disputed:: No

Product Related: Yes

Drug or Biological: Device

Product Category #1: Sacral Nerve Stimulation

Name of Drug #1: INTERSTIM


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 820035629

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: INTERNAL MEDICINE

Name of Drug #1: GATTEX

Open Associated Drug #1: 68875-0101-2


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 820035633

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: INTERNAL MEDICINE

Name of Drug #1: GATTEX

Open Associated Drug #1: 68875-0101-2


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 843189919

Being Disputed:: No

Product Related: Yes


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 808596017

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: PAIN

Name of Drug #1: XARACOLL

Open Associated Drug #1: 51715-100-04


Colorectal Surgery (proctology) Professionals in Hackensack

20 Prospect Ave
Hackensack, NJ
Hackensack Meridian Health Medical Group - Specialty Care Pc

20 Prospect Ave
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20 Prospect Ave
Hackensack, NJ
Hackensack Meridian Health Medical Group - Specialty Care Pc

20 Prospect Ave
Hackensack, NJ
Hackensack Meridian Health Medical Group - Specialty Care Pc

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