Organization Active NPI

Dr Kenya Lazovik

  • Foot & Ankle Surgery Podiatrist
  • Cliffside Park, NJ
National Provider Identifier
1649834557
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Kenya A LazovikNPI 1245677855
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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.