JOHN WAYNE LAZAR (NPI# 1114086121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114086121 |
| Entity Type | Individual |
| Full Name | JOHN WAYNE LAZAR |
| Credential | PH.D. |
| Practice Address |
300 Community Dr Manhasset NY 11030-3816 |
| Mailing Address |
155 Kensington Rd S Garden City NY 11530-5614 |
| Practice Telephone | 5165623054 |
| Practice Fax Number | 5165622830 |
| Mailing Telephone | 5165248214 |
| Mailing Fax Number | 5162920021 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6344 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578756722 | John Franklin Lazar | Surgery | 110 Irving St Nw Rm G-253, Washington, DC 20010 | 2007-08-21 |
| 1801835830 | John Lazar | Pharmacist | 47 S Country Rd, Bellport, NY 11713-2501 | 2006-06-05 |
| 1780926337 | John Peter Lazar | Pediatrics | 1320 West Main Street, Newark, OH 43055 | 2013-03-21 |
| 1154599785 | John Lazar | Nurse Practitioner | 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266-2730 | 2008-02-17 |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659777 | Rudy Neptune | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2005-06-15 |
| 1013518935 | Vikram Gajulapalli | Pharmacist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-11-06 |
| 1568062396 | Caroline Smolenski | Nurse Anesthetist, Certified Registered | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-30 |
| 1265031256 | James Jiwon Song | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-20 |
| 1437757739 | Andy Sunwoo Lim | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-09 |
| 1548867450 | Shiva Moshtagh | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-04 |
| 1457968943 | Bryanna Colleen Kelly | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-28 |
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1548875644 | Julius E Wilson Jr. | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 1114532215 | Sarah Iqbal | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
| 1265675359 | Kristen Hope Demertzis | Clinical Neuropsychologist | 1554 Northern Blvd., Transitions, 3rd Floor, Manhasset, NY 11030-3006 | 2009-04-20 |
| 1992875041 | William Matos | Clinical Neuropsychologist | Nsuh-dept of Psychiatry, 300 Community Drive, Manhasset, NY 11030 | 2006-11-08 |
| 1023505435 | Erica Pauline Meltzer | Clinical Neuropsychologist | 1554 Northern Blvd, Manhasset, NY 11030-3006 | 2018-04-20 |
| 1801918677 | Henry Anthony Malone | Clinical Neuropsychologist | 535 Plandome Rd, Manhasset, NY 11030-1961 | 2007-04-04 |
| 1114066792 | Paul J Mattis | Clinical Neuropsychologist | 400 Community Dr, Manhasset, NY 11030-3815 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
| 1841707643 | Jennifer Martinez | Clinical Neuropsychologist | 1 3rd Ave, Mineola, NY 11501-4299 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.