Lissette Perez Lazo, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS15013 Issued in FL

Practice address

1750 NE 167TH St
North Miami Beach, FL 33162

Phone

(954) 262-4100

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Lissette Perez Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.47 of 100Reported as group

Quality

62.45

Improvement activities

40

Cost

73.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nova Southeastern University, Inc

  • Optometrist
  • Ft. Lauderdale, FL
  • NPI 1700924511

  Single Specialty

  Medicare reassignment Care Compare group NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474

  Single Specialty

  Medicare reassignment NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD
• Nova Southeastern University Inc.

  • Clinical Medical Laboratory
  • Ft. Lauderdale, FL
  • NPI 1770533390
  NPD
• Nsu-College of Osteopathic Medical Center at Covenant Village

  • Geriatric Medicine (Internal Medicine) Physician
  • Plantation, FL
  • NPI 1093147670
  NPD
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1881732634
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1003208083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15702 SW 44TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "954-262-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 68th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161801",
            "country_code": "US",
            "telephone_number": "305-364-2107",
            "fax_number": "305-822-8347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W 68th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161801",
            "country_code": "US",
            "telephone_number": "305-364-2107",
            "fax_number": "305-822-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZO",
        "first_name": "LISSETTE",
        "middle_name": "PEREZ",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lp591@nova.edu",
            "affiliation": "N",
            "address_1": "1750 NE 167th St",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.intelichart.com/NSUHealthClinics/",
            "affiliation": "N",
            "address_1": "1750 NE 167th St",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISSETTE",
            "last_name": "PEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latino Medical Center Inc
• Jesus Laurente, MD
• Joshua D Lavian
• Marla Lavoice, D.P.M.
• Reynaldo Lazaro, RN
• LC Health Management LLC
• Leapstart Development Academy Corp
• Leapstart Developmental Academy Corp
• Leavitt Medical Associates of Florida Inc
• Jeffrey L. Lebow, D.O.

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.