Active NPI
Evolution Medicine
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 263015
- Legal business name
- EVOLUTION MEDICINE
- Practice address
- 280 Madison Ave RM 205
New York, NY 10016-0816 - Phone
- (212) 924-2871
- NPI assigned
- Mar 27, 2017
- Last updated
- May 1, 2022
- 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
- Dr. Sonya Lazarevic, M.D.
- Title
- President
- Phone
- (212) 924-2871
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 263015 | NY | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 263015 | NY |
Addresses
Primary practice location
280 Madison Ave RM 205
New York, NY 10016-0816
Mailing address
7 Brush Hill Rd Unit 8853
New Fairfield, CT 06812-7736
Phone (212) 924-2871
National Provider Directory
National Provider DirectoryLocations
7 Brush Hill Rd
Unit 8853
New Fairfield, CT 06812
280 Madison Ave
Rm 1202
New York, NY 10016
Phone (212) 924-2871
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1851606875
-
- Clinical Psychologist
- New York, NY
- NPI 1487545034
-
- Registered Dietitian
- New York, NY
- NPI 1700603958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651363200000",
"number": "1659802957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BRUSH HILL RD UNIT 8853",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068127736",
"telephone_number": "212-924-2871",
"fax_number": "917-382-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MADISON AVE RM 205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160816",
"telephone_number": "212-924-2871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLUTION MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-27",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A",
"authorized_official_last_name": "LAZAREVIC",
"authorized_official_first_name": "SONYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-924-2871",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "263015",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "263015",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Oleg Victorovich Evgenov, M.D., PH.D.
- Joseph A. Eviatar, M.D.
- Alexander Ian Evins
- Evoke Psychology, PLLC
- Mary Ellen Evolo, D.M.D.
- Evolve Health and Wellness
- Evolve Physical Medicine and Rehabilitation, PC (Evolve Medical)
- Evolve Physical Therapy, PLLC (Evolve Physical Therapy and Sports Rehabilitation)
- Evolving Women Psychotherapy LCSW, PLLC
- Julien Evon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.