Individual provider Active NPI

Michael Victor Venanzi, MD

  • Obstetrics & Gynecology Physician
  • Randolph, NJ
National Provider Identifier
1417038373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA03937700 Issued in NJ
Practice address
390 Route 10
Suite 1
Randolph, NJ 07869-2141
Phone
(973) 328-1262
Fax
(973) 328-8576
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA03937700 NJ Primary

Addresses

Primary practice location

390 Route 10
Suite 1
Randolph, NJ 07869-2141

Mailing address

539 Openaki Rd
Randolph, NJ 07869-3318
Phone (973) 361-1149

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
I20111024000670 NJ Practitioner - Obstetrics/Gynecology 1557534328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

390 RT 10 W
1 Andrei Buna MD Michael Vonanzi M
Randolph, NJ 07869
Phone (973) 328-1262

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Oct 1, 2015 Accepting new patients
Internal Medicine of Morris County LLC CurrentSince Jul 5, 2023 Accepting new patients
Huron Pathology Associates PLLC Current Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Jan 1, 1989 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

400 W Blackwell St
Fl 3
Dover, NJ 07801
Phone (973) 989-3613

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

390 Route 10 W
Ste 1
Randolph, NJ 07869
Phone (973) 328-1262

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.venanzi.1@27010.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417038373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 OPENAKI RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693318",
            "telephone_number": "973-361-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ROUTE 10",
            "address_2": "SUITE 1",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692141",
            "telephone_number": "973-328-1262",
            "fax_number": "973-328-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENANZI",
        "first_name": "MICHAEL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA03937700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.