Angel Lazo MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA70523 Issued in NJ

Legal business name

ANGEL LAZO MD, PA

Practice address

55 Meadowlands Pkwy FL 3
Secaucus, NJ 07094-2977

Phone

(201) 978-7740

Fax

(201) 392-3514

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

Angel Lazo, MD

Title

Owner

Phone

(908) 963-9919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1154638211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4335",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070590335",
            "telephone_number": "908-963-9919",
            "fax_number": "201-392-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY FL 3",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-978-7740",
            "fax_number": "201-392-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL LAZO MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-963-9919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA70523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8394709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.