Individual provider Active NPI

John L Dorazio, M.D.

  • Cardiovascular Disease Physician
  • Somerset, NJ
National Provider Identifier
1205832904
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA46023 Issued in NJ
Practice address
75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002
Phone
(732) 247-7444
Fax
(732) 247-5119
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA46023 NJ Primary

Addresses

Primary practice location

75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002

Mailing address

75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002
Phone (732) 247-7444

Other identifiers 1

IdentifierTypeStateIssuer
0313505MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000184 NJ Practitioner - Cardiovascular Disease (Cardiology) 3274700463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA46023NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease CurrentSince Mar 1, 2014 Accepting new patients

Locations

75 Veronica Ave
Ste 101
Somerset, NJ 08873
Phone (732) 247-5054

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1205832904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-247-7444",
            "fax_number": "732-247-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-247-7444",
            "fax_number": "732-247-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAZIO",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA46023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.