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

LAZIZ MARDONOV
NPI 1437059250
Nurse Practitioner - Family in Gibsonia, PA

Q: What is Laziz Mardonov's NPI number?

The NPI number for Laziz Mardonov is 1437059250. It was assigned to this individual provider in the NPPES registry on November 6, 2026.

Q: What is Laziz Mardonov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laziz Mardonov was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 06, 2026

2707 MARRA DR, GIBSONIA, PA 15044(929) 575-0400 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Laziz Mardonov NPPES

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

LAZIZ MARDONOV (NPI 1437059250) is an individual family provider in Gibsonia, Pennsylvania, licensed in Pennsylvania (F09260801) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1437059250

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameLAZIZ MARDONOV

Location Address2707 MARRA DRGibsonia, PA 15044-8543

Mailing Address2707 Marra DrGibsonia, PA 15044-8543

Phone(929) 575-0400

Sole ProprietorNo

Enumeration DateNovember 6, 2026

NPPES CertifiedNovember 6, 2026

✔ NPI 1437059250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · F09260801

2707 MARRA DR, Gibsonia, PA 15044

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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 Laziz Mardonov's NPI number?

The NPI number for Laziz Mardonov is 1437059250. It was assigned to this individual provider in the NPPES registry on November 6, 2026.

Where is Laziz Mardonov located?

Laziz Mardonov practices at 2707 Marra Dr, Gibsonia, PA 15044. The listed phone number is (929) 575-0400.

What is Laziz Mardonov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Laziz Mardonov was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.