Active NPI
Dr Kenya Lazovik
- Foot & Ankle Surgery Podiatrist
- Cliffside Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- DR KENYA LAZOVIK
- Practice address
- 663 Palisade Ave Ste 204
Cliffside Park, NJ 07010-3012 - Phone
- (201) 943-7977
- Fax
- (201) 945-4650
- NPI assigned
- Apr 25, 2019
- Last updated
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenya A Lazovik
- Title
- Owner/ Doctor
- Phone
- (201) 943-7977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
663 Palisade Ave Ste 204
Cliffside Park, NJ 07010-3012
Mailing address
663 Palisade Ave Ste 204
Cliffside Park, NJ 07010-3012
Phone (201) 943-7977
Other practice location 1
4 Hunter St
Lodi, NJ 07644-1608
Phone (201) 943-7977
Other practice location 2
185 Central Ave Ste 412
East Orange, NJ 07018-3318
Phone (201) 943-7977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190529001869 | NJ | Part B Supplier - Clinic/Group Practice | 5395088694 |
Receives reassigned benefits from 5 practitioners Practice locations: Lodi, NJ; East Orange, NJ; Cliffside Park, NJ; Hackensack, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
663 Palisade Ave
Ste 204
Cliffside Park, NJ 07010
Phone (201) 943-7977
185 Central Ave
Ste 412
East Orange, NJ 07018
Phone (201) 943-7977
310 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473
412 Central Ave
East Orange, NJ 07018
4 Hunter St
#201
Lodi, NJ 07644
Phone (862) 233-8438
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Cliffside Park, NJ
- NPI 1245677855
Primary Podiatric Medicine
-
- Podiatrist
- Cliffside Park, NJ
- NPI 1265093504
-
- Podiatrist
- Livingston, NJ
- NPI 1952755936
-
- Primary Podiatric Medicine Podiatrist
- Cliffside Park, NJ
- NPI 1316398613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1649834557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 PALISADE AVE STE 204",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103012",
"telephone_number": "201-943-7977",
"fax_number": "201-945-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 PALISADE AVE STE 204",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103012",
"telephone_number": "201-943-7977",
"fax_number": "201-945-4650"
}
],
"practiceLocations": [
{
"address_1": "4 Hunter St",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "NJ",
"postal_code": "076441608",
"country_code": "US",
"telephone_number": "201-943-7977",
"fax_number": "201-945-4650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "185 Central Ave Ste 412",
"address_purpose": "LOCATION",
"city": "East Orange",
"state": "NJ",
"postal_code": "070183318",
"country_code": "US",
"telephone_number": "201-943-7977",
"fax_number": "201-945-4650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR KENYA LAZOVIK",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-25",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "LAZOVIK",
"authorized_official_first_name": "KENYA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/ DOCTOR",
"authorized_official_telephone_number": "201-943-7977"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.