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SEAN WAYNE LAZARUS D.P.M. LLC
NPI 1104236199
Podiatrist in West Haven, CT

Active since April 30, 2014
764 CAMPELLE AVE, UNITG, WEST HAVEN, CT 06516(475) 238-7400(475) 238-7400 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean Wayne Lazarus D.p.m. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN WAYNE LAZARUS D.P.M. LLC (NPI 1104236199) is a healthcare organization registered as a podiatrist in West Haven, Connecticut and active in the NPI registry since April 2014. The organization lists Sean Wayne Lazarus, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104236199
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSEAN WAYNE LAZARUS D.P.M. LLC
Location Address764 CAMPELLE AVE, UNITGWest Haven, CT 06516-3786
Mailing Address764 Campelle Ave, Unit GWest Haven, CT 06516-3786 · (475) 238-7400 · Fax (475) 238-7400
Phone(475) 238-7400
Fax(475) 238-7400
Organization SubpartNo
Authorized OfficialSean Wayne LazarusDoctor · (203) 453-0704
Enumeration DateApril 30, 2014
Last NPPES UpdateSeptember 27, 2025
NPPES CertifiedSeptember 27, 2025
✔ NPI 1104236199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
764 CAMPELLE AVE, West Haven, CT 06516
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Wayne Lazarus D.p.m. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sean Wayne Lazarus D.P.M. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sean Lazarus, D.P.M
Podiatry
NPI 1619991981
764 CAMPBELL AVE SUITE G
West Haven, CT 06516
(475) 238-7400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Wayne Lazarus D.P.M. LLC's NPI number?

The NPI number for Sean Wayne Lazarus D.P.M. LLC is 1104236199. It was assigned to this organization in the NPPES registry on April 30, 2014.

Where is Sean Wayne Lazarus D.P.M. LLC located?

Sean Wayne Lazarus D.P.M. LLC is located at 764 Campelle Ave Unitg, West Haven, CT 06516. The listed phone number is (475) 238-7400.

What is Sean Wayne Lazarus D.P.M. LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sean Wayne Lazarus D.P.M. LLC enrolled in Medicare?

Yes. Sean Wayne Lazarus D.P.M. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sean Wayne Lazarus D.P.M. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Sean Wayne Lazarus D.P.M. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sean Wayne Lazarus D.P.M. LLC was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.