Individual provider Active NPI

Euphemia Marlene Carolan Lazarus, DNP FNP-C

  • Family Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1396416392
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01188400 Issued in NJ
Practice address
77 Cornell Dr
Voorhees, NJ 08043-4936
Phone
(856) 718-5397
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01188400 NJ Primary

Addresses

Primary practice location

77 Cornell Dr
Voorhees, NJ 08043-4936

Mailing address

77 Cornell Dr
Voorhees, NJ 08043-4936
Phone (856) 718-5397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112003283 NJ Practitioner - Nurse Practitioner 1850825951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Homevisit Physicians PCGroup PAC ID 8820423163, 11 clinicians

Practice addresses (Care Compare)

3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone (856) 596-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Homevisit Physicians PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

3906 Church Rd
Ste 200
Mount Laurel, NJ 08054

Organizations & group practices 1

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1396416392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CORNELL DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434936",
            "telephone_number": "856-718-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CORNELL DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434936",
            "telephone_number": "856-718-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "EUPHEMIA",
        "middle_name": "MARLENE CAROLAN",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01188400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.