Individual provider Active NPI

Lauren Zastrow, PA

  • Medical Physician Assistant
  • Newark, DE
National Provider Identifier
1063965267
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C5-0001078 Issued in DE
Practice address
620 Stanton Christiana Rd
Suite 203
Newark, DE 19713-2133
Phone
(302) 338-9444
Fax
(302) 994-9449
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C5-0001078 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd
Suite 203
Newark, DE 19713-2133

Mailing address

620 Stanton Christiana Rd
Suite 203
Newark, DE 19713-2133
Phone (302) 338-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0001078DEMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1063965267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-338-9444",
            "fax_number": "302-994-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-338-9444",
            "fax_number": "302-994-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0001078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.