Lazar Fruchter

Primary specialty

SpecialistTaxonomy code 174400000X

License

123563 Issued in NY

Practice address

641 Knickerbocker Rd
Livingston, NY 12758

Phone

(917) 430-0280

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083

  Specialist

  Medicare reassignment NPD
• Macheneh Medical

  • Specialist
  • Livingston, NY
  • NPI 1134288426
  NPD (past) Authorized official
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801954425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 KNICKERBOCKER RD",
            "city": "LIVINGSTON",
            "state": "NY",
            "postal_code": "12758",
            "telephone_number": "917-430-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUCHTER",
        "first_name": "LAZAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "123563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00974314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Baker, PT
• Emily Howson, NP
• Livingston Hills Nursing and Rehabilitation Center, LLC
• Livingston S and V Operations LLC
• Macheneh Medical
• The Devereux Foundation

• Specialist in Livingston, NY
• Providers in Livingston, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.