Individual provider Active NPI

Stephen Lazaroff, DPM

  • Podiatrist
  • Waterbury, CT
National Provider Identifier
1588084362
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
959 Issued in CT
Practice address
714 Chase Pkwy Ste 4
Waterbury, CT 06708-3012
Phone
(203) 755-0489
Fax
(203) 755-7523
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Podiatrist 213ER0200X 959 CT
Foot Surgery Podiatrist 213ES0131X 959 CT
Orthotist 222Z00000X 959 CT
Orthotic Fitter 225000000X 959
Podiatrist 213E00000X 959 CT Primary

Addresses

Primary practice location

714 Chase Pkwy Ste 4
Waterbury, CT 06708-3012

Mailing address

30 Mowry St
North Haven, CT 06473-4337

Other practice location 1

87 S Main St Ste 8
Newtown, CT 06470-2315
Phone (203) 270-6724

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915002632 CT Practitioner - Podiatry 2860766797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Z Fein DPM PCGroup PAC ID 5395799332, 10 clinicians

Practice addresses (Care Compare)

714 Chase Pkwy
Suite 4
Waterbury, CT 06708-3012
Phone (203) 902-5212

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue74
Removal of skin lesions137
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Z Fein DPM PC Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Michael Z Fein DPM PC Podiatrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

8 School St
Ste 8
Bethel, CT 06801
Phone (203) 743-7083

87 S Main St
Ste 8
Newtown, CT 06470
Phone (203) 270-6724

714 Chase Pkwy
Ste 4
Waterbury, CT 06708
Phone (203) 755-0489

Organizations & group practices 2

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 1

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588084362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MOWRY ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CHASE PKWY STE 4",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083012",
            "telephone_number": "203-755-0489",
            "fax_number": "203-755-7523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 S Main St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "CT",
            "postal_code": "064702315",
            "country_code": "US",
            "telephone_number": "203-270-6724",
            "fax_number": "203-270-6728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZAROFF",
        "first_name": "STEPHEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CT",
            "license": "959",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "959",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CT",
            "license": "959",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": "959",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.