MS. JENNIFER LAZAROS


Address: 115 Broadway Ste 1800, New York, NY 10006-1652
Phone: 5165342375

MS. JENNIFER LAZAROS (NPI# 1699159038) 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) 1699159038
Entity Type Individual
Full Name MS. JENNIFER LAZAROS
Credential RN, NP
Practice Address 115 Broadway Ste 1800
New York
NY 10006-1652
Mailing Address 39 West 14th Street
Suite 506
New York
NY 10011
Practice Telephone 5165342375
Practice Fax Number 5122290865
Mailing Telephone 9297770173
Enumeration Date 2015-07-15
Last Update Date 2019-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 673578-1 NY Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402087 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402087-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00695941 05

Office Location

Street Address 115 BROADWAY STE 1800
City NEW YORK
State NY
Zip Code 10006-1652

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NPI Name Taxonomy Address Enumeration
1144208794 Nancy Lau Internal Medicine 115 Broadway Ste 1800, New York, NY 10006 2006-01-04
1104436021 Uchechukwuka Osadebe M.d., Pllc General Practice 115 Broadway Ste 1800, New York, NY 10006-1652 2020-08-05
1881229011 Ascend Medical Services Pllc Anesthesiology 115 Broadway Ste 1800, New York, NY 10006-1652 2020-03-09
1265078125 Ashley Lauren Pearson Counselor 115 Broadway Ste 1800, New York, NY 10006-1652 2019-11-25
1639729189 Chaya Lezell Dietitian, Registered 115 Broadway Ste 1800, New York, NY 10006-1652 2019-09-17
1578119814 Michael John Arnold Counselor 115 Broadway Ste 1800, New York, NY 10006-1652 2019-08-13
1407402613 Naomi D Root Social Worker 115 Broadway Ste 1800, New York, NY 10006-1652 2019-08-13
1255891420 Shonali Soans Nutritionist 115 Broadway Ste 1800, New York, NY 10006-1652 2019-03-22
1134688336 Paige Karnick Social Worker 115 Broadway Ste 1800, New York, NY 10006-1652 2019-03-18
1417421728 Kyaw Htyte Dermatology 115 Broadway Ste 1800, New York, NY 10006-1652 2019-01-20
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NPI Name Taxonomy Address Enumeration
1720620313 Retina Labs (usa), Inc. Technician/Technologist 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 2019-10-15
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1720563232 Harveen Kaur Physical Therapist 65 Broadway, Ste. 603, New York, NY 10006 2018-10-01
1871032367 Joanne Herskovits Speech-Language Pathologist 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 2017-02-16
1457801318 Lifetime Physical Therapy Clinic/Center 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 2016-10-04
1649647959 Progyny, Inc. Exclusive Provider Organization 1 Liberty Plaza, 47th Floor, New York, NY 10006 2015-08-24
1801207022 Jane Arkinstall Social Worker 39 Broadway Suite 200, Mjhs, New York, NY 10006 2014-05-09
1487077665 Jacob Perlow Hospice Medicare Defined Swing Bed Unit 39 Broadway, Suite 200, Ny, NY 10006 2014-01-24
1003249301 Calvin C. Krom IIi Emergency Medicine 39 Broadway Fl 3, New York, NY 10006 2013-08-10
1740535103 Carol Lynn Say Tan Physical Therapist 61 Broadway Suite 2824, New York, NY 10006 2012-07-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1689227175 Marianna Garibaldi Nurse Practitioner 246 W 38th St Fl 10, New York, NY 10018-5805 2019-07-23
1235781535 Nathan Hanna Nurse Practitioner 6 E 39th St Ste 902, New York, NY 10016-0468 2019-07-16
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1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
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Competitor

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City NEW YORK
Zip Code 10006

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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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