Active NPI
Jessica Lazarus, MS OTR/L
- Occupational Therapist
- Teaneck, NJ
National Provider Identifier
1811256753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00702300
- Practice address
- 1470 W Terrace Cir
Apt 2
Teaneck, NJ 07666-5227 - Phone
- (914) 953-2635
- NPI assigned
- May 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00702300 | NJ | Primary |
| Occupational Therapist | 225X00000X | 017324 | NY |
Addresses
Primary practice location
1470 W Terrace Cir
Apt 2
Teaneck, NJ 07666-5227
Mailing address
1470 W Terrace Cir
Apt 2
Teaneck, NJ 07666-5227
Phone (914) 953-2635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00702300 | NJ | MD | Occupational Therapist |
| 017324 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1811256753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 W TERRACE CIR",
"address_2": "APT 2",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665227",
"telephone_number": "914-953-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 W TERRACE CIR",
"address_2": "APT 2",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665227",
"telephone_number": "914-953-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARUS",
"first_name": "JESSICA",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-13",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00702300",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.