Organization Active NPI

Salvatore J. Milazzo,D.O.,P.a.

  • General Practice Physician
  • Fair Lawn, NJ
National Provider Identifier
1497874036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MB05013800 Issued in NJ
Legal business name
SALVATORE J. MILAZZO,D.O.,P.A.
Practice address
19-21 Fair Lawn Ave
Suite H
Fair Lawn, NJ 07410-2331
Phone
(908) 272-2861
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Salvatore J Milazzo, D.O.
Title
President
Phone
(908) 272-2861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 25MB05013800 NJ Primary

Addresses

Primary practice location

19-21 Fair Lawn Ave
Suite H
Fair Lawn, NJ 07410-2331

Mailing address

405 Coolidge Dr
Kenilworth, NJ 07033-1512
Phone (908) 272-2861

National Provider Directory

National Provider Directory

Locations

19-21 Fair Lawn Ave
Ste H
Fair Lawn, NJ 07410
Phone (908) 272-2861

588 State Route 10
Randolph, NJ 07869
Phone (973) 366-6615

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497874036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 COOLIDGE DR",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331512",
            "telephone_number": "908-272-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "address_2": "SUITE H",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "908-272-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE J. MILAZZO,D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILAZZO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-272-2861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB05013800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.