Active NPI
Jeanine F Carbone-Lazarus, M.D.
- Maternal & Fetal Medicine Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- ME113051
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005945800 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009005085 | MO | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Maternal & Fetal Medicine | Current | Accepting new patients |
| Southeast Perinatal Associates, Inc. | Maternal & Fetal Medicine | Current | Accepting new patients |
| South Florida Perinatal Medicine | Current | 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
- 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.
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
Maternal & Fetal Medicine
-
- Specialist
- South Miami, FL
- NPI 1750494373
-
- Maternal & Fetal Medicine Physician
- Plantation, FL
- NPI 1477535508
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.