Anthony Randazzo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02576000 Issued in NJ

Practice address

337 Market St
Saddle Brook, NJ 07663-5313

Phone

(201) 742-5202

Fax

(201) 843-5285

NPI assigned

Nov 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Antithrombotic Center, LLC

  • Adult Health Nurse Practitioner
  • Saddle Brook, NJ
  • NPI 1043337470
  NPD (past)
• John R. Mully D.M.D., P.a.

  • General Practice Dentistry
  • Saddle Brook, NJ
  • NPI 1336232065
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1225435175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635313",
            "telephone_number": "201-742-5202",
            "fax_number": "201-843-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635313",
            "telephone_number": "201-742-5202",
            "fax_number": "201-843-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02576000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Hudson Anesthesia, LLC
• Psychiatry Direct LLC
• PT Worx Physical Therapy and Sports Medicine
• Quickmd Medical Group of NJ PA
• R L Medical LLC
• Renaissance Surgery Center
• Ruth Reyes-Espino
• Ira Rinn, M.A., BCBA
• Kelly Riordan, LSW
• Leonora Rivera, M.D.

• Dentist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.