Organization Active NPI

Steven M. Lomazow M.D. PC

  • Neurology Physician
  • Belleville, NJ
National Provider Identifier
1326221011
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA03746300 Issued in NJ
Legal business name
STEVEN M. LOMAZOW M.D. PC
Practice address
50 Newark Ave
Suite 104
Belleville, NJ 07109-1185
Phone
(973) 751-5643
Fax
(973) 751-1322
NPI assigned
Dec 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Steven M. Lomazow, M.D.NPI 1306887880
Title
Owner
Phone
(973) 751-5643

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
Neurology Physician 2084N0400X 25MA03746300 NJ Primary

Addresses

Primary practice location

50 Newark Ave
Suite 104
Belleville, NJ 07109-1185

Mailing address

50 Newark Ave
Suite 104
Belleville, NJ 07109-1185
Phone (973) 751-5643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000129 NJ Part B Supplier - Clinic/Group Practice 3072603778 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, NJ

National Provider Directory

National Provider Directory

Locations

50 Newark Ave
Ste 104
Belleville, NJ 07109
Phone (201) 438-5286

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1326221011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 104",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-751-5643",
            "fax_number": "973-751-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 104",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-751-5643",
            "fax_number": "973-751-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M. LOMAZOW M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LOMAZOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-751-5643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA03746300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.