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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAZARUS JACKSON
NPI 1265330484
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since October 28, 2026
770 E 176TH ST, BRONX, NY 10460(718) 583-5150 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lazarus Jackson NPPES

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

LAZARUS JACKSON (NPI 1265330484) is an individual addiction (substance use disorder) provider in Bronx, New York, licensed in New York (42682) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1265330484
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLAZARUS JACKSON
Location Address770 E 176TH STBronx, NY 10460-4617
Mailing Address770 E 176th StBronx, NY 10460-4617 · (718) 583-5150
Phone(718) 583-5150
Sole ProprietorYes
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1265330484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 42682
770 E 176TH ST, Bronx, NY 10460
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER HARRIS CHAMBERS SR. CASAC
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (917) 539-6013
ANDRE JEROME PULLIAM
Peer Specialist
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
VINCENT THOMAS CASAC
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
MS. KATHERINE VASQUEZ N/A VASQUEZ CASAC-T
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
JAMIYLA TINSLEY
Counselor
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
MARYAM NAZARYFAR
Registered Nurse
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
KRYSTAL LONG
Counselor (Addiction (Substance Use Disorder))
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 583-5150
KORALLY CEPERO RN
Registered Nurse
770 E 176TH ST
BRONX, NY 10460
Bronx County (718) 466-8961

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 Lazarus Jackson's NPI number?

The NPI number for Lazarus Jackson is 1265330484. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Where is Lazarus Jackson located?

Lazarus Jackson practices at 770 E 176th St, Bronx, NY 10460. The listed phone number is (718) 583-5150.

What is Lazarus Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lazarus Jackson was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.