MYRA CELESTE LAZZARO


Address: 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592
Phone: 9738941263

MYRA CELESTE LAZZARO (NPI# 1447373907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447373907
Entity Type Individual
Full Name MYRA CELESTE LAZZARO
Other Name MYRA CELESTE LAZO
Credential PA-C
Practice Address 695 Us Highway 46
Suite 400a
Fairfield
NJ 07004-1592
Mailing Address Po Box 4059
Wayne
NJ 07474-4059
Practice Telephone 9738941263
Practice Fax Number 8889723703
Mailing Telephone 9738941263
Mailing Fax Number 8889723703
Enumeration Date 2007-04-09
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
MA052978 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
25MP00302000 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 695 US HIGHWAY 46
SUITE 400A
City FAIRFIELD
State NJ
Zip Code 07004-1592

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063406874 Mary F Welsh Surgery 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2005-09-07
1336648708 Nancyann Cole Physician Assistant 695 Us Highway 46, Fairfield, NJ 07004-1592 2018-02-12
1932445285 Barry A Cohen LLC Surgery 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2012-12-13
1306122874 Lynn Malanka Nurse Practitioner 695 Us Highway 46, Ste 400a, Fairfield, NJ 07004-1568 2011-10-28
1962787986 Sweta G Dalsania Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2011-10-21
1881981348 Petko Petkov Mitev Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2011-07-06
1982935987 Luke R Carey Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2010-01-15
1205075470 Ricki M Henry Specialist 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2009-02-12
1023281664 Carlo Opont Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2008-04-03
1972710366 Luisa Guena Specialist 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2007-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543695 Dr. Mae J. Balaban & Associates LLC Psychologist 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 2019-11-18
1477103547 Kdds Too, Inc. Community/Behavioral Health 28 Dwight Place, Fairfield, NJ 07004 2019-09-19
1912487711 Vela Diagnostics Usa Inc Clinical Medical Laboratory 353c Us Route 46, Suite 250, Fairfield, NJ 07004 2018-08-21
1285111864 Advance Home Physical Therapy LLC Physical Therapist 9 Belair Dr, Fairfield, NJ 07004 2018-07-25
1063808962 Homecare Rx Inc. Pharmacy 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 2015-04-08
1336544832 Villo' Fiddler Pharmacist 632 Rt. 46 East, Fairfield, NJ 07004 2014-10-27
1093133746 Simone Alicia Douge Family Medicine 700 Route 46 E Ste 450, Fairfield, NJ 07004 2014-03-31
1386905529 Med Life LLC Ambulance 295 Route 46 West, Suite 201, Fairfield, NJ 07004 2012-06-05
1164792453 Daniel Seth Greenbaum Dentist 592 Us Highway 46, Fairfield, NJ 07004 2012-01-04
1447529425 Yelena Daysudov Pharmacist 180 Passaic Avenue, Fairfield, NJ 07004 2011-12-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659523561 Lara Beth Kokenos Physician Assistant 425 Post Rd Fl 2, Fairfield, CT 06824-6232 2008-10-22
1780607945 Jennifer M Nori Physician Assistant 93 Nonopoge Rd, Fairfield, CT 06825-7219 2006-07-26
1073945267 Kelly M. Pitzer Physician Assistant 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 2013-07-30
1962787986 Sweta G Dalsania Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2011-10-21
1881981348 Petko Petkov Mitev Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2011-07-06
1295978930 Marjorie Claudine Francis Physician Assistant 695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568 2009-04-10
1023281664 Carlo Opont Physician Assistant 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 2008-04-03
1336188127 Matthew Donald Barr Physician Assistant 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 2006-06-06
1215982624 Jill Wasserman Gulliford Physician Assistant 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467062463 Erica Josephine Lobuglio Physician Assistant 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 2020-08-04
1407471493 Angelice Grasso Physician Assistant 3 Holly Ln, Garfield, NJ 07026-3565 2020-06-15
1063036358 Jaina Marie Lumkong Physician Assistant 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 2020-06-02
1740804384 Allison Sy Tan Physician Assistant 10 Bahr Cir, Verona, NJ 07044-3200 2020-05-29
1114560851 Brian Paul Leonhardt Physician Assistant 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 2019-10-25
1740830413 Atara Hagler Physician Assistant 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 2019-09-16
1568943058 Ekaterina M Rezvin Physician Assistant 80 Woodland Park Dr, Tenafly, NJ 07670-3028 2018-08-23
1225550353 Kristen Cordiello Physician Assistant 1610 Route 88 Ste 203, Brick, NJ 08724-3018 2017-07-11
1710408232 Angela Marie Freedman Physician Assistant 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 2017-07-06
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
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Competitor

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City FAIRFIELD
Zip Code 07004

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Dataset Information

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.

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