Risa B Lazaroff
Individual provider Active NPI Family Nurse Practitioner · Milford, CT
NPI 1922690296 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1922690296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9418 (CT)
- Practice address
- 17 Abigail St
Milford, CT 06460-7918 - Phone
- (203) 927-5556
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211105001060 | CT | Practitioner - Nurse Practitioner | 2961891304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9418 | CT | MD | Pediatric Neurodevelopmental Disabilities Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients |
Locations
40 Temple St
Ste 3A
New Haven, CT 06510
Phone (203) 785-2020
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- rlazaroff352391@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 9418 | CT | |
| Family Nurse Practitioner | 363LF0000X | 9418 | CT | Yes |
Addresses
Primary practice location
17 Abigail St
Milford, CT 06460-7918
Mailing address
17 Abigail St
Milford, CT 06460-7918
Phone (203) 927-5556
Other providers in Milford, CT
- Elizabeth Lavin
- Victoria Lawlor
- Arlene C Lawrence
- Christopher C Lawrence
- Brendan McKay Lawson
- Nelson Leach
- Lauren Leavey
- Jessica Lederman
- Richard C Lee
- Sin Hang Lee
All providers in Milford, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.