Individual provider Active NPI

Shara Lazar, RD

  • Registered Dietitian
  • Roslyn Heights, NY
National Provider Identifier
1689451908
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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.

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 12 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
009979NYMDClinical Child & Adolescent Psychologist

Practice roles (5 of 8)

OrganizationSpecialtyStatusNew patients
New York Internal Medicine, P.C. CurrentSince Apr 1, 2025 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 PastSince Mar 3, 2024 Accepting new patients
Blueprint-Nutrition P.L.L.C. Dietitian, Registered PastSince May 18, 2025 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)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.