Active NPI
Lawrence Mazaras, RPA-C
- Physician Assistant
- Uniondale, NY
National Provider Identifier
1396046686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013785
- Practice address
- 690 Campus St
Uniondale, NY 11553-2907 - Phone
- (516) 808-4937
- NPI assigned
- Nov 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013785 | NY | Primary |
Addresses
Primary practice location
690 Campus St
Uniondale, NY 11553-2907
Mailing address
690 Campus St
Uniondale, NY 11553-2907
Phone (516) 808-4937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013785 | NY | MD | Chiropractor |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1396046686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 CAMPUS ST",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532907",
"telephone_number": "516-808-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 CAMPUS ST",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532907",
"telephone_number": "516-808-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZARAS",
"first_name": "LAWRENCE",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.