Individual provider Active NPI

Lara Kozin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scotch Plains, NJ
National Provider Identifier
1235584616
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00348300 Issued in NJ
Practice address
2265 South Ave
Scotch Plains, NJ 07076-4635
Phone
(908) 232-3346
Fax
(908) 232-6920
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00348300 NJ Primary

Addresses

Primary practice location

2265 South Ave
Scotch Plains, NJ 07076-4635

Mailing address

2265 South Ave
Scotch Plains, NJ 07076-4635
Phone (908) 232-3346

Other practice location 1

440 Chestnut St
Union, NJ 07083-3100
Phone (908) 688-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001948 NJ Practitioner - Podiatry 6002142296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RWP Enterprises LLCGroup PAC ID 6406885771, 4 clinicians

Practice addresses (Care Compare)

440 Chestnut St
Union, NJ 07083-3100
Phone (908) 688-0113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue629
Removal of skin lesions1-10
Removal of nail tissue144
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00348300NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
RWP Enterprises LLC Foot & Ankle Surgery CurrentSince Jun 13, 2019 Accepting new patients
RWP Enterprises LLC Foot & Ankle Surgery CurrentSince May 16, 2022 Accepting new patients

Locations

674 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-1803

2265 South Ave
Scotch Plains, NJ 07076
Phone (908) 232-3346

440 Chestnut St
#G
Union, NJ 07083
Phone (908) 688-0113

440 Chestnut St
Union, NJ 07083
Phone (908) 686-9330

Interoperability endpoints

  • Direct secure messaging: lkozin243716@direct.ahsys.org
  • Direct secure messaging: lara.kozin.1@11307.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1235584616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 SOUTH AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764635",
            "telephone_number": "908-232-3346",
            "fax_number": "908-232-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 SOUTH AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764635",
            "telephone_number": "908-232-3346",
            "fax_number": "908-232-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070833100",
            "country_code": "US",
            "telephone_number": "908-688-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIN",
        "first_name": "LARA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00348300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.