Active NPI
Sean Wayne Lazarus D.P.M. LLC
- Podiatrist
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SEAN WAYNE LAZARUS D.P.M. LLC
- Practice address
- 764 Campelle Ave
Unitg
West Haven, CT 06516-3786 - Phone
- (475) 238-7400
- Fax
- (475) 238-7400
- NPI assigned
- Apr 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean Wayne Lazarus, D.P.M
- Title
- Doctor
- Phone
- (203) 453-0704
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
764 Campelle Ave
Unitg
West Haven, CT 06516-3786
Mailing address
764 Campelle Ave
Unit G
West Haven, CT 06516-3786
Phone (475) 238-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Sean Wayne Lazarus DPM LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Guilford, CT
- NPI 1194103200
Locations
764 Campbell Ave
Ste G
West Haven, CT 06516
Phone (475) 238-7400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- West Haven, CT
- NPI 1619991981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758931200000",
"number": "1104236199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 CAMPELLE AVE",
"address_2": "UNIT G",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163786",
"telephone_number": "475-238-7400",
"fax_number": "475-238-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 CAMPELLE AVE",
"address_2": "UNITG",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163786",
"telephone_number": "475-238-7400",
"fax_number": "475-238-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAN WAYNE LAZARUS D.P.M. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A",
"authorized_official_last_name": "LAZARUS",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "203-453-0704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.