Grand Professional Weight Control

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

MA20014 Issued in NJ

Legal business name

GRAND PROFESSIONAL WEIGHT CONTROL

Doing business as

Allan Lazar MD & Associates

Practice address

420 Grand Avenue
Suite 102
Englewood, NJ 07631

Phone

(201) 568-3742

Fax

(201) 836-3178

NPI assigned

Oct 30, 2007

Last updated

Jan 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allan W Lazar, MD

Title

Owner President

Phone

(201) 568-3742

Specialties & licenses 1

Addresses

Other names 1

• Allan Lazar MD & Associates Doing business as

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1972782696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GRAND AVENUE",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-568-3742",
            "fax_number": "201-836-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GRAND AVENUE",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-568-3742",
            "fax_number": "201-836-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PROFESSIONAL WEIGHT CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "201-568-3742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "MA20014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allan Lazar MD & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Graf, LCSW
• Livia Granata-Sakellaris, M.D.
• Grand Dental, PC
• Grand OB-GYN PA
• Grand Orthopaedic Associates LLC
• Kaydean Grant, APN
• Tanya Gray
• Michael D. Green, MD
• Vicki Greenberg, MA, FAA
• Naomi Helen Greenblatt

• Obesity Medicine (Family Medicine) Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Obesity Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.