Individual provider Active NPI

Jeanine F Carbone-Lazarus, M.D.

  • Maternal & Fetal Medicine Physician
  • Miramar, FL
National Provider Identifier
1619177250
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME113051 Issued in FL
Practice address
1951 SW 172ND Ave
Ste 309
Miramar, FL 33029-5593
Phone
(954) 499-4352
Fax
(954) 242-6600
NPI assigned
Jul 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 2009005085 MO
Maternal & Fetal Medicine Physician 207VM0101X ME113051 FL Primary

Addresses

Primary practice location

1951 SW 172ND Ave
Ste 309
Miramar, FL 33029-5593

Mailing address

PO Box 744069 Dept 50028
Atlanta, GA 30384-4069
Phone (954) 939-5000

Other identifiers 1

IdentifierTypeStateIssuer
005945800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120814000018 FL Practitioner - Obstetrics/Gynecology 6002062627 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009005085MOMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Maternal & Fetal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Southeast Perinatal Associates, Inc. Maternal & Fetal Medicine Current Accepting new patients
South Florida Perinatal Medicine CurrentSince Aug 1, 2012 Accepting new patients

Locations

1150 N 35th Ave
Ste 550
Hollywood, FL 33021
Phone (209) 946-7200

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

6200 Sunset Dr
Ste 301
South Miami, FL 33143
Phone (305) 669-9521

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Interoperability endpoints

  • Direct secure messaging: jeanine.carbonelazarus@sep.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619177250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744069 DEPT 50028",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844069",
            "telephone_number": "954-939-5000",
            "fax_number": "305-669-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "STE 309",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-499-4352",
            "fax_number": "954-242-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE-LAZARUS",
        "first_name": "JEANINE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2009005085",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME113051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005945800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.