Organization Active NPI

Joseph J. Prezzato M.D., PLLC

  • Obstetrics & Gynecology Physician
  • Farmington Hills, MI
National Provider Identifier
1619243995
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301088750 Issued in MI
Legal business name
JOSEPH J. PREZZATO M.D., PLLC
Practice address
30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3158
Phone
(248) 855-2229
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Mrs. Farrah F. Prezzato
Title
Manager
Phone
(248) 320-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301088750 MI Primary

Addresses

Primary practice location

30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3158

Mailing address

30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3158
Phone (248) 855-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000010 MI Part B Supplier - Clinic/Group Practice 3173771557 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1619243995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "SUITE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-855-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "SUITE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-855-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. PREZZATO M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "PREZZATO",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-320-6221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301088750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.