Active NPI
Shara Lazar, RD
- Registered Dietitian
- Roslyn Heights, NY
National Provider Identifier
1689451908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042 - Phone
- (516) 616-5500
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Whitestone, NY
- NPI 1427009752
-
- Registered Dietitian
- Middle Village, NY
- NPI 1447744909
Dietitian, Registered
-
- Specialist
- Roslyn Heights, NY
- NPI 1356545867
-
- Specialist
- Roslyn Heights, NY
- NPI 1164898821
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York Internal Medicine PC
Practice addresses (Care Compare)
2810 Steinway St
Astoria, NY 11103-3332
Phone (718) 458-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250507002786 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 6800313438 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009979 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles (5 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Internal Medicine, P.C. | Current | Accepting new patients | |
| Medhat F Sami MD PC | Current | Accepting new patients | |
| Long Island Minimally Invasive Surgery, P.C. | Past | Accepting new patients | |
| New York Bariatric Surgery Group PLLC | Past | Accepting new patients | |
| Blueprint-Nutrition P.L.L.C. | Dietitian, Registered | Past | Accepting new patients |
Locations
2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244
1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Mailing address
125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2023.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1689451908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MINEOLA AVE STE 200",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772042",
"telephone_number": "516-616-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MINEOLA AVE STE 200",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772042",
"telephone_number": "516-616-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "SHARA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.