NPIMap

Individual provider Active NPI

Joel Steven Lazar, M.D.

  • Family Medicine Physician
  • Hanover, NH
National Provider Identifier
1639199763
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12069 Issued in NH
Practice address
7 Allen St
Hanover, NH 03755-2065
Phone
(603) 738-1164
Fax
(603) 653-8191
NPI assigned
Jul 20, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12069 NH Primary

Addresses

Primary practice location

7 Allen St
Hanover, NH 03755-2065

Mailing address

101 Tremont Street, 6TH Floor
Boston, MA 02108
Phone (617) 804-5981

Other practice location 1

18 Old Etna Rd
DHMC - Family Medicine
Lebanon, NH 03766
Phone (603) 650-4000

Other identifiers 2

IdentifierTypeStateIssuer
1009915MedicaidVT
30203890MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031229000639 NH Practitioner - Family Practice 0941108997
I20240406000226 VT Practitioner - Family Practice 0941108997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

437 S Main St
Bradford, VT 05033-0338
Phone (802) 222-9317

65 Main St
Wells River, VT 05081-3000
Phone (807) 757-2325

720 Village Rd
East Corinth, VT 05040-9783
Phone (802) 439-5321

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. CurrentSince Feb 20, 2024 Accepting new patients
Little Rivers Health Care, Inc. Family Medicine CurrentSince Feb 20, 2024 Accepting new patients
Little Rivers Health Care, Inc. Current Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639199763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TREMONT STREET, 6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02108",
            "telephone_number": "617-804-5981",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALLEN ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552065",
            "telephone_number": "603-738-1164",
            "fax_number": "603-653-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Old Etna Rd",
            "address_2": "DHMC - Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03766",
            "country_code": "US",
            "telephone_number": "603-650-4000",
            "fax_number": "603-650-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "JOEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009915",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203890",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.