Lazar Khaimov, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

295053 Issued in NY

Practice address

49 Forest Rd
Monroe, NY 10950-2923

Phone

(845) 782-3242

Fax

(845) 782-2145

NPI assigned

Apr 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Pediatric Medicine

Education

Touro Un Col of Osteopathic Medicine, New York, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aizer Health , IncGroup PAC ID 6406747989, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1063480218

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1528941689
  NPD

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1760877047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FOREST RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502923",
            "telephone_number": "845-782-3242",
            "fax_number": "845-782-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FOREST RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502923",
            "telephone_number": "845-782-3242",
            "fax_number": "845-782-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIMOV",
        "first_name": "LAZAR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "295053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerestir Health LLC
• Kaitlin Kerr, MS, CGC
• Jennifer A Kessler, D.P.T
• Jaclyn Ketterer
• Marissa Key, OTR
• Haseeb Khan, MD
• Sharda Khan
• Dorina Khankhel, PA
• Ila Khanna, MD
• Kids Compassion Inc

• Pediatrics Physician in Monroe, NY
• Providers in Monroe, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.