Individual provider Active NPI

Engracia O. Lazatin, M.D.

  • Internal Medicine Physician
  • Westbury, NY
National Provider Identifier
1265474837
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193731 Issued in NY
Practice address
1065 Old Country Rd
Suite 214
Westbury, NY 11590-5640
Phone
(516) 334-7000
Fax
(516) 334-7082
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193731 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000070 NY Practitioner - Internal Medicine 2365488152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1265474837",
    "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": {
        "last_name": "LAZATIN",
        "first_name": "ENGRACIA",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.