East 12TH Street Urology PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

EAST 12TH STREET UROLOGY PLLC

Practice address

1729 E 12TH St FL 5
Brooklyn, NY 11229-1088

Phone

(718) 369-3300

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan N LazareNPI 1376552406

Title

MD

Phone

(718) 369-3300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Nicholas Lazare, MD

  • Urology Physician
  • Brooklyn, NY
  • NPI 1376552406
  Authorized official Same address or phone

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1225880248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 E 12TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291088",
            "telephone_number": "718-369-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 E 12TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291088",
            "telephone_number": "718-369-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 12TH STREET UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "LAZARE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-369-3300"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.