Michael J. Fidanzato, M.D., PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA54952 Issued in NJ

Legal business name

MICHAEL J. FIDANZATO, M.D., PA

Practice address

601 Ewing St
Suite C7
Princeton, NJ 08540-2757

Phone

(609) 921-7620

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael FidanzatoNPI 1881750834

Title

MD

Phone

(609) 921-7620

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Fidanzato, M.D.

  • Gastroenterology Physician
  • Princeton, NJ
  • NPI 1881750834
  Authorized official Same address or phone

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1164680112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "SUITE C7",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-921-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "SUITE C7",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-921-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. FIDANZATO, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "FIDANZATO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-921-7620",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA54952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Methvien, OD
• Edward Meyers
• Linda I Meyers, PSY.D.
• Zinovy Meyler, D.O.
• Asma Mian, M.D.
• Michael R Cortese D M D P a
• Midlantic Medical Systems, Inc
• Anita I Miedziak, M.D.
• Emily C Mignogna, PA
• Kim Hutchins Millar, MD

• Specialist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.