Individual provider Active NPI

Janet T. Lazieh, MD

  • Pediatrics Physician
  • Fort Lee, NJ
National Provider Identifier
1730145707
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA77854 Issued in NJ
Practice address
2500 Lemoine Ave
Fort Lee, NJ 07024-6232
Phone
(201) 592-9210
Fax
(201) 592-6539
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA77854 NJ Primary

Addresses

Primary practice location

2500 Lemoine Ave
Fort Lee, NJ 07024-6232

Mailing address

2500 Lemoine Ave
Fort Lee, NJ 07024-6232
Phone (201) 592-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140703000504 NJ Practitioner - Pediatric Medicine 7517182694 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA77854NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA Pediatrics CurrentSince Jun 1, 2014 Accepting new patients

Locations

2500 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 461-8110

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

222 Cedar Ln
Ste 301
Teaneck, NJ 07666
Phone (201) 592-9210

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1730145707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-592-9210",
            "fax_number": "201-592-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-592-9210",
            "fax_number": "201-592-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZIEH",
        "first_name": "JANET",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA77854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.