Individual provider Active NPI

Peter Francis Dal Pizzol, DMD

  • Dentist
  • New York, NY
National Provider Identifier
1174514483
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043791 Issued in NY
Practice address
1034 Saint Nicholas Ave
162 Dental Practice
New York, NY 10032-5242
Phone
(212) 568-1222
NPI assigned
Nov 4, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 043791 NY Primary

Addresses

Primary practice location

1034 Saint Nicholas Ave
162 Dental Practice
New York, NY 10032-5242

Mailing address

1230 Duncan Rd
Fort Lee, NJ 07024-6405
Phone (201) 224-8250

Other identifiers 1

IdentifierTypeStateIssuer
01392685MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319000282 NJ Order and Referring Only - DentistPractitioner - Dentist 0941638373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043791NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174514483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 DUNCAN RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246405",
            "telephone_number": "201-224-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SAINT NICHOLAS AVE",
            "address_2": "162 DENTAL PRACTICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325242",
            "telephone_number": "212-568-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAL PIZZOL",
        "first_name": "PETER",
        "middle_name": "FRANCIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01392685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.