Individual provider Active NPI

Christy Marie Benjamin Lazaroff, D.M.D

  • Dentist
  • Prospect Park, PA
National Provider Identifier
1700149192
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039147 Issued in PA
Practice address
907 Lincoln Ave
Prospect Park, PA 19076-1414
Phone
(610) 583-5052
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039147 PA Primary

Addresses

Primary practice location

907 Lincoln Ave
Prospect Park, PA 19076-1414

Mailing address

300 Lawrence Dr Ste B
West Chester, PA 19380-4289
Phone (610) 583-5052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401001084 PA Order and Referring Only - DentistPractitioner - Dentist 5294032421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Park Family Dentistry PC PastSince Dec 24, 2023 Accepting new patients
Richard N Benjamin DDS PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1700149192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAWRENCE DR STE B",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804289",
            "telephone_number": "610-583-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 LINCOLN AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761414",
            "telephone_number": "610-583-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN LAZAROFF",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Park, PA

Sources for this page

Verify at the official NPI Registry.