LYNNE J. LAZARUS (MD) – Adult Medicine Physician, NPI 1154471969
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
Provider Addresses for LYNNE J. LAZARUS (MD)
71 Raymond Rd Ste 122
West Hartford, CT 061072211
Phone: (888) 803-3370
Type: Location
156 William St Rm 303
New York, NY 100385307
Phone: (888) 803-3370
Type: Location
2418 E York St
Philadelphia, PA 191253006
Phone: (888) 803-3370
Type: Location
830 Morris Tpke Fl 4
Short Hills, NJ 070782625
Phone: (888) 803-3370
Type: Location
265 Franklin St Ste 1702
Boston, MA 021103144
Phone: (888) 803-3370
Type: Location
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone: (888) 803-3337
Type: Mailing
Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States
OAKLAND, CA 946123429
Phone: (510) 625-6262
Type: Mailing
Kaiser Permanente Richmond Medical Center, 901, Nevin Avenue, Iron Triangle, Richmond, Contra Costa County, California, 94801, United States
RICHMOND, CA 948013143
Phone: (510) 307-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060427000381 | I | Family Practice | CA | TBD |
| I20250213003004 | I | Family Practice | NJ | TBD |
| I20250328003061 | I | Family Practice | NY | TBD |
| I20250628000122 | I | Family Practice | PA | TBD |
| I20250814001057 | I | Family Practice | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | TX | |
| Physician Assistant | CA | |
| Physician Assistant | AZ | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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