DR KENYA LAZOVIK (NPI# 1649834557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649834557 |
| Entity Type | Organization |
| Organization Name | DR KENYA LAZOVIK |
| Practice Address |
542 Anderson Ave Cliffside Park NJ 07010-1721 |
| Practice Telephone | 2019437977 |
| Practice Fax Number | 2019454650 |
| Mailing Telephone | 2019437977 |
| Mailing Fax Number | 2019454650 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | KENYA A. LAZOVIK (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2019437977 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
542 ANDERSON AVE |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582138 | Helene D Manno | Podiatrist | 542 Anderson Ave, Cliffside Park, NJ 07010-1721 | 2006-01-16 |
| 1245677855 | Kenya A Lazovik | Podiatrist | 542 Anderson Ave, Cliffside Park, NJ 07010-1721 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1376871012 | Joseph A Holzapfel Dpm, LLC | Podiatrist | 663 Palisade Ave, Suite 305, Cliffside Park, NJ 07010-3012 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
Please comment or provide details below to improve the information on DR KENYA LAZOVIK.
| 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.