Peter Fazio Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004353L Issued in PA

Legal business name

PETER FAZIO INC

Practice address

1116A Thomas Rd
Warrington, PA 18976-1842

Phone

(215) 343-4573

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Peter Fazio, DPMNPI 1558461020

Title

Owner

Phone

(610) 676-0236

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter M Fazio, DPM

  • Podiatrist
  • Warrington, PA
  • NPI 1558461020
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1265833230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116A THOMAS RD",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761842",
            "telephone_number": "215-343-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116A THOMAS RD",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761842",
            "telephone_number": "215-343-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER FAZIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-676-0236",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004353L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0673679000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "778054",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elaine Pendergast, MA, LPC
• Pennsylvania CVS Pharmacy LLC
• Kiara Peralta, MA, LPC
• Andrew Persky, D.C.
• Shari L Pescatore, LPC
• Judith Stadlen Pfeffer, PH.D.
• Christina Ann Pfeifer, MA, LMFT
• Stephen Kenneth Pfeiffer, PHARMD, MBA, RPH
• Christine Carol Pignatelli, OTR
• Avis Pitkow, PSY.D, LPC

• Podiatrist in Warrington, PA
• Providers in Warrington, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.