Individual provider Active NPI

Peter Vincent Crapanzano Sr., DDS

  • Dentist
  • Hazlet, NJ
National Provider Identifier
1861566960
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Apr 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102117600 Issued in NJ
Practice address
46 Village Court
Hazlet, NJ 07730
Phone
(732) 335-5535
Fax
(732) 888-1875
NPI assigned
Nov 20, 2006
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
Dentist 122300000X 22D102117600 NJ Primary

Addresses

Primary practice location

46 Village Court
Hazlet, NJ 07730

Mailing address

46 Village Court
Hazlet, NJ 07730
Phone (732) 335-5535

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
22D102117600NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861566960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 VILLAGE COURT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-335-5535",
            "fax_number": "732-888-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 VILLAGE COURT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-335-5535",
            "fax_number": "732-888-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAPANZANO",
        "first_name": "PETER",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102117600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.