Individual provider Active NPI

Chioma N Lazz, M.D

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1285672709
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
196114 Issued in NY
Practice address
333 Roebling St
Brooklyn, NY 11211-6204
Phone
(718) 387-6407
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 196114 NY Primary

Addresses

Primary practice location

333 Roebling St
Brooklyn, NY 11211-6204

Mailing address

24511 149TH Rd
Rosedale, NY 11422-2717
Phone (718) 723-1198

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
I20110315000886 NY Practitioner - Pediatric Medicine 5193907954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196114NYMDPediatrics Physician
053846NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince May 18, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 18, 2021 Accepting new patients
New York City Health and Hospitals Corporation PastSince May 18, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

760 Broadway
Rm 2B230
Brooklyn, NY 11206

760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: clazz563044@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1285672709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24511 149TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222717",
            "telephone_number": "718-723-1198",
            "fax_number": "718-723-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROEBLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116204",
            "telephone_number": "718-387-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZ",
        "first_name": "CHIOMA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "196114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.