Individual provider Active NPI

Sarah H Lazaros, MD

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1790309391
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
324084 Issued in NY
Practice address
315 W 57TH St Ste 404
New York, NY 10019-3147
Phone
(888) 603-9338
Fax
(212) 313-9467
NPI assigned
May 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 324084 NY Primary

Addresses

Primary practice location

315 W 57TH St Ste 404
New York, NY 10019-3147

Mailing address

315 W 57TH St Ste 404
New York, NY 10019-3147
Phone (888) 603-9338

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804001351 NY Practitioner - Pediatric Medicine 5991213704 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
324084NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Medical Care, LLC CurrentSince Mar 7, 2026 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 13, 2025 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

100 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-2900

315 W 57th St
Ste 404
New York, NY 10019
Phone (888) 603-0993

302 E 72nd St
New York, NY 10021
Phone (212) 734-4488

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: sarah.lazaros.1@1952.direct.athenahealth.com

Organizations & group practices 4

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": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1790309391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST STE 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193147",
            "telephone_number": "888-603-9338",
            "fax_number": "212-313-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST STE 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193147",
            "telephone_number": "888-603-9338",
            "fax_number": "212-313-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAROS",
        "first_name": "SARAH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "324084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.