Organization Active NPI

Lazarou Urology Associates, PC

  • Urology Physician
  • Wellesley Hills, MA
National Provider Identifier
1275706673
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
220000 Issued in MA
Legal business name
LAZAROU UROLOGY ASSOCIATES, PC
Practice address
65 Walnut St
Suite 460
Wellesley Hills, MA 02481-2118
Phone
(781) 237-9000
Fax
(781) 237-9001
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Stephen A Lazarou, M.D.NPI 1578524674
Title
Owner
Phone
(617) 777-0508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 220000 MA Primary

Addresses

Primary practice location

65 Walnut St
Suite 460
Wellesley Hills, MA 02481-2118

Mailing address

10 Nehoiden Street
Needham, MA 02492-1932
Phone (617) 777-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000543 MA Part B Supplier - Clinic/Group Practice 0749350197 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley Hills, MA

National Provider Directory

National Provider Directory

Locations

65 Walnut St
Ste 460
Wellesley Hills, MA 02481
Phone (781) 237-9000

Interoperability endpoints

  • Direct secure messaging: lazarou.stephen.slmd@direct.partners.masshiway.net
  • Direct secure messaging: weinstein.zoe.slmd@direct.partners.masshiway.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1275706673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEHOIDEN STREET",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921932",
            "telephone_number": "617-777-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 460",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-237-9000",
            "fax_number": "781-237-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZAROU UROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "LAZAROU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-777-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": "220000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.