Nellie Riendeau Lazar, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP008400 Issued in PA

Practice address

3535 Market St. Ste. 1371
Chop Adolescent Initiative
Philadelphia, PA 19104-5021

Phone

(215) 590-3626

Fax

(215) 590-0426

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Childrens Health Care Associates of New Jersey PC

  • Pediatrics Physician
  • Voorhees, NJ
  • NPI 1427152917
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1891778239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST. STE. 1371",
            "address_2": "CHOP ADOLESCENT INITIATIVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045021",
            "telephone_number": "215-590-3626",
            "fax_number": "215-590-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST. STE. 1371",
            "address_2": "CHOP ADOLESCENT INITIATIVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045021",
            "telephone_number": "215-590-3626",
            "fax_number": "215-590-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "NELLIE",
        "middle_name": "RIENDEAU",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP008400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024965980001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891778239",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aili Lazaar, MD
• Alina Lazar, M.D.
• Courtney Lynn Lazar, PHARMD
• Melissa Ann Lazar, M.D.
• Mitchell A Lazar, MD
• Sydney Anna Lazar, PA-C
• Bojan Lazarevic, MD
• Justin Michael Lazaroff, D.O.
• Heather Lazarow, RD
• Catherine Olivia Lazarus

• Primary Care Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.