Individual provider Active NPI

John Francis Lazzara, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1689653495
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200520 Issued in NY
Practice address
8684 15TH Ave
Brooklyn, NY 11228-3409
Phone
(718) 232-0703
Fax
(718) 232-3256
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200520 NY Primary

Addresses

Primary practice location

8684 15TH Ave
Brooklyn, NY 11228-3409

Mailing address

8684 15TH Ave
Brooklyn, NY 11228-3409
Phone (718) 232-0704

Other identifiers 1

IdentifierTypeStateIssuer
01755595MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001858 NY Practitioner - Family Practice 2567454648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of University Hospital PCGroup PAC ID 5890877542, 58 clinicians

Practice addresses (Care Compare)

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9292

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • Carmel Richmond Healthcare and Rehabilitation Cent Nursing home, Staten Island, NY, CCN 335455

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital PC Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Physicians of University Hospital, PC CurrentSince Aug 1, 2016 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
Carmel Richmond Nursing Home, Inc. Past Accepting new patients

Locations

8684 15th Ave
Brooklyn, NY 11228
Phone (718) 232-0703

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

1 Edgewater St
Fl 7
Staten Island, NY 10305

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-4508

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

1776 Richmond Rd
Staten Island, NY 10306
Phone (718) 370-8900

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jlazzara65470@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1689653495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283409",
            "telephone_number": "718-232-0704",
            "fax_number": "718-232-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8684 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283409",
            "telephone_number": "718-232-0703",
            "fax_number": "718-232-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARA",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.