Organization Active NPI

Jonathan N Lazare Urology PC

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1760964811
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
195845 Issued in NY
Legal business name
JONATHAN N LAZARE UROLOGY PC
Practice address
1729 E 12TH St FL 5
Brooklyn, NY 11229-1088
Phone
(718) 369-3300
Fax
(718) 369-3301
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Jonathan N Lazare, MD
Title
Provider/Owner
Phone
(718) 369-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 195845 NY Primary

Addresses

Primary practice location

1729 E 12TH St FL 5
Brooklyn, NY 11229-1088

Mailing address

1729 E 12TH St FL 5
Brooklyn, NY 11229-1088
Phone (718) 369-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1760964811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 E 12TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291088",
            "telephone_number": "718-369-3300",
            "fax_number": "718-369-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 E 12TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291088",
            "telephone_number": "718-369-3300",
            "fax_number": "718-369-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN N LAZARE UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "LAZARE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "718-369-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "195845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.