Michael Loreto Adriano Lazaro

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

009862-01 Issued in NY

Practice address

3660 Waldo Ave Apt 6K
Bronx, NY 10463-2229

Phone

(917) 743-6116

NPI assigned

Jul 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1053044461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177A E MAIN ST # 252",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015711",
            "telephone_number": "917-743-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 WALDO AVE APT 6K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632229",
            "telephone_number": "917-743-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "MICHAEL LORETO",
        "middle_name": "ADRIANO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009862-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lazala, MD
• Paige Sara Lazar, MD
• Rebecca Perechodski Lazar, L.C.S.W.
• Slobodan Lazarevic, M.D.
• Lisette Lazaro, LMSW
• Batsheva Lazaroff, MD
• Joseph Robert Lazaroff, DDS
• Matthew Samuel Lazarus, M.D.
• Cayetana Lazcano Etchebarne
• Arnaldo Lazo, PHARMD

• Physical Therapy Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.