Active NPI
Janet T. Lazieh, MD
- Pediatrics Physician
- Fort Lee, NJ
National Provider Identifier
1730145707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA77854
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA77854 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelcare Medical Associates, PA | Pediatrics | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.