Lawrence Steven Lizzack

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI00944300 Issued in NJ

Practice address

17-10 River Rd
Fair Lawn, NJ 07410-1252

Phone

(201) 797-7774

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649234691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101252",
            "telephone_number": "201-797-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101252",
            "telephone_number": "201-797-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZZACK",
        "first_name": "LAWRENCE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00944300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Lin, DMD
• Tatiana Lin
• David E Lipson, M.D.
• Olga Lishko, M.D.
• Jason Howard Lizzack, D.M.D.
• Jennifer Loaiza, LPC
• Jason Locicero, A.T.C.
• Stephen Lockwood, BCBA
• Monica Vazquez Loconti, PT, DPT
• Andrei Logvinenko, M.D.

• General Practice Dentistry in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.