Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lazaro, AGNP-C

Individual provider Nurse Practitioner · NPI 1720801624

Jessica Lazaro, AGNP-C is a Nurse Practitioner in Paterson, New Jersey. Qualified in 2023, 3 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ15195000 (NJ)

Record details

NPI number1720801624
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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