NPIMap

Organization Active NPI

Dr Kristie Lazzara, DC

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1003965914
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
70011039 Issued in NY
Legal business name
DR KRISTIE LAZZARA, DC
Practice address
105 Macon Ave
Staten Island, NY 10312-2014
Phone
(718) 885-7133
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Dr. Kristie R Lazzara, D.C.NPI 1063501260
Title
Owner Doctor
Phone
(718) 885-7133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 70011039 NY Primary

Addresses

Primary practice location

105 Macon Ave
Staten Island, NY 10312-2014

Mailing address

105 Macon Ave
Staten Island, NY 10312-2014
Phone (718) 885-7133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1003965914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MACON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122014",
            "telephone_number": "718-885-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MACON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122014",
            "telephone_number": "718-885-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRISTIE LAZZARA, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER  DOCTOR",
        "authorized_official_telephone_number": "718-885-7133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70011039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.