MS. JENNIFER LAZAROS RN, NP
NPI 1699159038
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Jennifer Lazaros's NPI number?

The NPI number for Jennifer Lazaros is 1699159038. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Jennifer Lazaros's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Jennifer Lazaros enrolled in Medicare?

No. Jennifer Lazaros has opted out of Medicare through August 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lazaros was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 July 15, 2015Opted out of Medicare · through Aug 13, 2028

115 BROADWAY STE 1800, NEW YORK, NY 10006(516) 534-2375(512) 229-0865 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2019, Jul 3, 2017, Jan 20, 2017 and 2 more (5 updates tracked since 2016).

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About Ms. Jennifer Lazaros Rn, Np NPPES

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

MS. JENNIFER LAZAROS RN, NP (NPI 1699159038) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F402087-1) and active in the NPI registry since July 2015. She has opted out of Medicare through August 13, 2028.

NPPES Registry Identity

NPI1699159038

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. JENNIFER LAZAROSCredential: RN, NP

Location Address115 BROADWAY STE 1800New York, NY 10006-1652

Mailing Address39 West 14th Street, Suite 506New York, NY 10011 · (929) 777-0173

Phone(516) 534-2375

Fax(512) 229-0865

Sole ProprietorNo

Enumeration DateJuly 15, 2015

Last NPPES UpdateDecember 6, 20195 updates tracked since enumeration

✔ NPI 1699159038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NY · F402087-1✔ Licensed in NY · 402087

Also ListedRegistered NurseTaxonomy 163W00000X · License 673578-1 (NY)

115 BROADWAY STE 1800, New York, NY 10006

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Other Identifiers 1

Medicaid00695941NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jennifer Lazaros Rn, Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 13, 2024 through August 13, 2028.

Opt-Out Effective DateAugust 13, 2024

Opt-Out In Effect ThroughAugust 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

TOETAL PODIATRY PC

Podiatrist (Foot & Ankle Surgery)