Active NPI
David Lazala, MD
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 291144
- Practice address
- 1276 Fulton Ave
Bronx, NY 10456-3402 - Phone
- (718) 901-8918
- NPI assigned
- Jul 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 291144 | NY | Primary |
Addresses
Primary practice location
1276 Fulton Ave
Bronx, NY 10456-3402
Mailing address
1276 Fulton Ave FL 4
Bronx, NY 10456
Phone (718) 901-8918
Other practice location 1
1276 Fulton Ave Fl 4
Bronx, NY 10456-3402
Phone (171) 890-1891
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Lazala MD P.C. | Current | Accepting new patients | |
| CCN General Medicine PLLC | Family Medicine | Current | Accepting new patients |
| 181St Street Medical P.C. | Family Medicine | Current | Accepting new patients |
| Bronxcare Health System | Family Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients |
Locations
1276 Fulton Ave
Rm 208
Bronx, NY 10456
Phone (718) 901-8918
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929
1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000
1276 Fulton Ave
Fl 4
Bronx, NY 10456
Phone (718) 901-8244
521 W 181st St
New York, NY 10033
Phone (347) 756-6000
126 Nagle Ave
New York, NY 10040
Phone (212) 304-0001
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHJDCD/Endpoint/GHJDCD
- https://fhir4.healow.com/fhir/r4/JEJIAA
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1700198512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 FULTON AVE FL 4",
"city": "BRONX",
"state": "NY",
"postal_code": "10456",
"telephone_number": "718-901-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-901-8918"
}
],
"practiceLocations": [
{
"address_1": "1276 Fulton Ave Fl 4",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104563402",
"country_code": "US",
"telephone_number": "171-890-1891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZALA",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-09",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "291144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.