Organization Active NPI

Susan G. Lazar, MD, PA

  • Psychoanalyst
  • Bethesda, MD
National Provider Identifier
1487864328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
D20561 Issued in MD
Legal business name
SUSAN G. LAZAR, MD, PA
Practice address
9104 Quintana Dr
Bethesda, MD 20817-2040
Phone
(301) 365-0373
Fax
(301) 365-3240
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan Gabor Lazar, MDNPI 1982041042
Title
President
Phone
(301) 365-0373

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
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X D20561 MD Primary

Addresses

Primary practice location

9104 Quintana Dr
Bethesda, MD 20817-2040

Mailing address

9104 Quintana Dr
Bethesda, MD 20817-2040
Phone (301) 365-0373

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487864328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 QUINTANA DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172040",
            "telephone_number": "301-365-0373",
            "fax_number": "301-365-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 QUINTANA DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172040",
            "telephone_number": "301-365-0373",
            "fax_number": "301-365-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN G. LAZAR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GABOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-365-0373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "MD",
            "license": "D20561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.