Peter M. Blauzvern, D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37688 Issued in NY

Legal business name

PETER M. BLAUZVERN, D.D.S.,P.C.

Practice address

366 N Broadway
Jericho, NY 11753-2025

Phone

(516) 681-5800

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter M. Blauzvern, DDS

Title

Owner

Phone

(516) 681-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639246945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532025",
            "telephone_number": "516-681-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532025",
            "telephone_number": "516-681-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. BLAUZVERN, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAUZVERN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-681-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Wright, M.D.
• Ilene Pearlman, SLP
• Linda G. Peltz, PH.D.
• Wilda Lacdao Peralta, PT
• Diana Perlin
• Jaime Philip, P.T.
• Phillip Fyman and Alexander Weingarten MD PC
• Paris Ead Phillips, M.D.
• Physicians Care of Long Island
• Ajayan Pillai, PHD

• General Practice Dentistry in Jericho, NY
• Providers in Jericho, NY by specialty
• General Practice Dentistry in New York

• 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.