Kenya A Lazovik, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00317100 Issued in NJ

Practice address

542 Anderson Ave
Cliffside Park, NJ 07010-1721

Phone

(201) 943-7977

Fax

(201) 945-4650

NPI assigned

May 23, 2013

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kenya A Wiltsie / Rosenman Former name

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Kenya LazovikGroup PAC ID 5395088694, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBHDDD/Endpoint/EBHDDD

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

• Dr Kenya Lazovik

  • Foot & Ankle Surgery Podiatrist
  • Cliffside Park, NJ
  • NPI 1649834557

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Dr Kenya Lazovik

  • Foot & Ankle Surgery Podiatrist
  • East Orange, NJ
  • NPI 1023721719

  Primary Podiatric Medicine

  NPD Authorized official
• Dr Kenya Lazovik

  • Foot & Ankle Surgery Podiatrist
  • Lodi, NJ
  • NPI 1780254003

  Primary Podiatric Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1245677855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-943-7977",
            "fax_number": "201-945-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-943-7977",
            "fax_number": "201-945-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Central Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070182838",
            "country_code": "US",
            "telephone_number": "973-673-3668",
            "fax_number": "201-945-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Hunter St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "NJ",
            "postal_code": "076441608",
            "country_code": "US",
            "telephone_number": "862-233-8438",
            "fax_number": "201-945-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZOVIK",
        "first_name": "KENYA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00317100",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00317100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENYA",
            "last_name": "WILTSIE / ROSENMAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Debra Gail Landau-Kennis, DMD
• Andrew Lapkin, DC
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• Foot & Ankle Surgery Podiatrist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.