Active NPI
Anthony Fazio, PHARMD
- Pharmacotherapy Pharmacist
- Newark, NJ
National Provider Identifier
1437293412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 28RI02293700
- Practice address
- 65 Bergen Street
Umdnj Suite 1011
Newark, NJ 07101-1709 - Phone
- (973) 972-9603
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 28RI02293700 | NJ | Primary |
Addresses
Primary practice location
65 Bergen Street
Umdnj Suite 1011
Newark, NJ 07101-1709
Mailing address
65 Bergen Street
Umdnj Suite 1011
Newark, NJ 07101-1709
Phone (973) 972-9603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02293700 | NJ | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1437293412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BERGEN STREET",
"address_2": "UMDNJ SUITE 1011",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071011709",
"telephone_number": "973-972-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BERGEN STREET",
"address_2": "UMDNJ SUITE 1011",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071011709",
"telephone_number": "973-972-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZIO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NJ",
"license": "28RI02293700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.