Organization Active NPI

Engracia O. Lazatin, MD, PC

  • Physical Medicine & Rehabilitation Physician
  • Westbury, NY
National Provider Identifier
1194906370
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A193731-1 Issued in NY
Legal business name
ENGRACIA O. LAZATIN, MD, PC
Practice address
1065 Old Country Rd
Suite 214
Westbury, NY 11590-5640
Phone
(516) 334-7000
Fax
(516) 334-7082
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Stephen Athan, DC
Title
Office Manager
Phone
(516) 334-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X008423 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A193731-1 NY Primary

Addresses

Primary practice location

1065 Old Country Rd
Suite 214
Westbury, NY 11590-5640

Mailing address

1065 Old Country Rd
Suite 214
Westbury, NY 11590-5640
Phone (516) 334-7000

Other names 1

  • Advanced Multi-Medicine & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1065 Old Country Rd
Ste 206
Westbury, NY 11590
Phone (516) 221-0225

1065 Old Country Rd
Ste 214
Westbury, NY 11590
Phone (516) 334-7000

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1194906370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 OLD COUNTRY RD",
            "address_2": "SUITE 214",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905640",
            "telephone_number": "516-334-7000",
            "fax_number": "516-334-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 OLD COUNTRY RD",
            "address_2": "SUITE 214",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905640",
            "telephone_number": "516-334-7000",
            "fax_number": "516-334-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGRACIA O. LAZATIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "ATHAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-334-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008423",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A193731-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Multi-Medicine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.