Organization Active NPI

David Lazala MD P.C.

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1952973000
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DAVID LAZALA MD P.C.
Practice address
126 Nagle Ave
New York, NY 10040-1437
Phone
(929) 724-4300
Fax
(929) 724-4301
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
David Lazala, MDNPI 1700198512
Title
Family Medicine
Phone
(929) 235-0382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

126 Nagle Ave
New York, NY 10040-1437

Mailing address

25 Holly St
Yonkers, NY 10704-2813
Phone (929) 235-0382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103001257 NY Part B Supplier - Clinic/Group Practice 4183012685 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

126 Nagle Ave
New York, NY 10040
Phone (212) 304-0001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1952973000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOLLY ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042813",
            "telephone_number": "929-235-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401437",
            "telephone_number": "929-724-4300",
            "fax_number": "929-724-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LAZALA MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "LAZALA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FAMILY MEDICINE",
        "authorized_official_telephone_number": "929-235-0382",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.