Individual provider Active NPI

John Lazar, DPM

  • Podiatrist
  • Bellport, NY
National Provider Identifier
1801835830
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0037571 Issued in NY
Practice address
47 S Country Rd
Bellport, NY 11713-2501
Phone
(631) 286-9315
Fax
(631) 286-9315
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0037571 NY Primary
Pharmacist 183500000X 036594 NY

Addresses

Primary practice location

47 S Country Rd
Bellport, NY 11713-2501

Mailing address

47 S Country Rd
Bellport, NY 11713-2501
Phone (631) 286-9315

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061104000027 NY Practitioner - Podiatry 8325045388 Reassigns benefits to 1 organization
Practice locations: Bellport, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0037571NYMDPodiatrist
036594NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Plaza Medical Center, Inc CurrentSince May 22, 2024 Accepting new patients
Whitman Ingersoll Farragut Health Center CurrentSince May 22, 2024 Accepting new patients

Locations

650 Fulton St
#0
Brooklyn, NY 11217

650 Fulton St
Brooklyn, NY 11217
Phone (718) 596-9800

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: john.lazar@bpmc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1801835830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 S COUNTRY RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132501",
            "telephone_number": "631-286-9315",
            "fax_number": "631-286-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 S COUNTRY RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132501",
            "telephone_number": "631-286-9315",
            "fax_number": "631-286-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0037571",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "036594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

Verify at the official NPI Registry.