Individual provider Active NPI

Jonathan Nicholas Lazare, MD

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1376552406
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
195845 Issued in NY
Practice address
1729 E 12TH St FL 5
Brooklyn, NY 11229-1088
Phone
(718) 369-3300
Fax
(718) 369-3301
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 195845 NY Primary

Addresses

Primary practice location

1729 E 12TH St FL 5
Brooklyn, NY 11229-1088

Mailing address

1729 E 12TH St FL 5
Brooklyn, NY 11229-1088
Phone (718) 369-3300

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
I20081204000912 NY Practitioner - Urology 6002869831 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1729 E 12TH St
FL 5
Brooklyn, NY 11229-1088
Phone (718) 369-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195845NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Jonathan N Lazare MD PC Urology CurrentSince Dec 1, 2020 Accepting new patients
Jonathan N Lazare M.D, P.C PastSince Oct 1, 1984 Accepting new patients

Locations

1729 E 12th St
Fl 5
Brooklyn, NY 11229
Phone (718) 369-3300

Networks

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

Interoperability endpoints

  • Direct secure messaging: jnl2002@direct.nyp.org
  • Direct secure messaging: jonathanlazare@mai.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1376552406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 E 12TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291088",
            "telephone_number": "718-369-3300",
            "fax_number": "718-369-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 E 12TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291088",
            "telephone_number": "718-369-3300",
            "fax_number": "718-369-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARE",
        "first_name": "JONATHAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "195845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.