Peter J Kazanovicz, B.C.O.

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

96-270-08 Issued in NH

Practice address

169 S River Rd
Suite 14a
Bedford, NH 03110-6971

Phone

(603) 622-5200

Fax

(603) 644-2354

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monoplex Eye Prosthetics

  • Prosthetic/Orthotic Supplier
  • Sturbridge, MA
  • NPI 1609046580
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154429736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD",
            "address_2": "SUITE 14A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106971",
            "telephone_number": "603-622-5200",
            "fax_number": "603-644-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 S RIVER RD",
            "address_2": "SUITE 14A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106971",
            "telephone_number": "603-622-5200",
            "fax_number": "603-644-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANOVICZ",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "B.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NH",
            "license": "96-270-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7501595",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Katz
• Karen Barbara Kaufmann
• Parneet Kaur
• Kayla Calabro Speech Services, LLC
• Lindsey Kazanovicz Boyle, BCO
• Sara E. Kazanowski, APRN
• Brittany Kearney
• Jessica Keaveny
• Laurie Keith, PHARMD
• Kelley Hayes Speech & Swallowing LLC

• Orthotic Fitter in Bedford, NH
• Providers in Bedford, NH by specialty
• Orthotic Fitter in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.