Individual provider Active NPI

Elizabeth W Lazzara, MD

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1275540882
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09073600 Issued in NJ
Practice address
483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone
(732) 390-0030
Fax
(732) 390-1856
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 25MA09073600 NJ
Diagnostic Radiology Physician 2085R0202X 199159 NY
Diagnostic Radiology Physician 2085R0202X MD61290551 WA
Diagnostic Radiology Physician 2085R0202X 25MA09073600 NJ Primary

Addresses

Primary practice location

483 Cranbury Rd
East Brunswick, NJ 08816-3610

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other identifiers 2

IdentifierTypeStateIssuer
01960214MedicaidNY
6601707MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT, FL, VT5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040602001682 NY Practitioner - Diagnostic Radiology 6608858717 Reassigns benefits to 2 organizations
I20120516000044 NJ Practitioner - Diagnostic Radiology 6608858717 Reassigns benefits to 6 organizations
I20150407001361 CT Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6608858717 Reassigns benefits to 6 organizations
I20150416001456 FL Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6608858717 Reassigns benefits to 6 organizations
I20250710000761 VT Practitioner - Diagnostic Radiology 6608858717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flemington Radiology Associates LLCGroup PAC ID 5294145819, 68 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (732) 390-0040

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

40 Park PL
Darien, CT 06820-5305
Phone (732) 390-0040

44 Windward
East Hampton, NY 11937-3147
Phone (732) 390-0040

55 Little Eagle Bay
Burlington, VT 05408-2781
Phone (732) 390-0040

6573 Marissa Loop
Apt 704
Naples, FL 34108-7257
Phone (732) 390-0040

75 Veronica Ave
Somerset, NJ 08873-5002
Phone (732) 246-0060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09073600NJMDDiagnostic Radiology Physician
MD61290551WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Jun 1, 2012 Accepting new patients
Hunterdon Medical Center Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Tra-Minw P S CurrentSince Sep 14, 2022 Accepting new patients
Flemington Radiology Associates, LLC Neuroradiology CurrentSince Jan 15, 2022 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Sep 1, 2022 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Sep 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
CMC Radiological Services PC Diagnostic Radiology Past Accepting new patients
CMC Radiological Services PC Diagnostic Radiology Past Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology Past Accepting new patients

Locations

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579 Cranbury Rd
Ste A
East Brunswick, NJ 08816
Phone (732) 238-6800

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1275540882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163610",
            "telephone_number": "732-390-0030",
            "fax_number": "732-390-1856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZZARA",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NJ",
            "license": "25MA09073600",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "199159",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61290551",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09073600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01960214",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.