Individual provider Active NPI

Angel Amado Lazo Jr., M.D.

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1932168523
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME180081 Issued in FL
Practice address
2940 S US Highway 1 Ste C11
Fort Pierce, FL 34982-8143
Phone
(772) 466-6855
Fax
(772) 464-6983
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME180081 FL Primary

Addresses

Primary practice location

2940 S US Highway 1 Ste C11
Fort Pierce, FL 34982-8143

Mailing address

2940 S US Highway 1 Ste C11
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

Other identifiers 1

IdentifierTypeStateIssuer
8394709MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20040204000958 NJ Practitioner - Internal Medicine 8426941329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

8 Mountain Blvd
Warren, NJ 07059-2638

95 Greene St
Jersey City, NJ 07302-3815
Phone (888) 724-7123

Hospital & facility affiliations

  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07052300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Integrated Medical Associates LLC Current Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Dec 4, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

142 Palisade Ave
Ste 219
Jersey City, NJ 07306
Phone (201) 360-3192

95 Greene St
Jersey City, NJ 07302
Phone (201) 499-8730

48 N Fullerton Ave
Montclair, NJ 07042
Phone (973) 744-7337

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

55 Meadowlands Pkwy
Fl 3
Secaucus, NJ 07094
Phone (201) 392-3588

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: angel.lazo@direct.christhospital.md
  • Direct secure messaging: alazo236696@direct.englewoodhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1932168523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S US HIGHWAY 1 STE C11",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828143",
            "telephone_number": "772-466-6855",
            "fax_number": "772-464-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 S US HIGHWAY 1 STE C11",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828143",
            "telephone_number": "772-466-6855",
            "fax_number": "772-464-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "ANGEL",
        "middle_name": "AMADO",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME180081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8394709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.