Individual provider Active NPI

Lawrence D Davanzo, D.O.

  • Pulmonary Disease Physician
  • Somerset, NJ
National Provider Identifier
1902834708
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB05407000 Issued in NJ
Practice address
49 Veronica Ave
Suite 105
Somerset, NJ 08873-6802
Phone
(732) 246-3066
Fax
(732) 246-3067
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB05407000 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MB05407000 NJ
Pulmonary Disease Physician 207RP1001X 25MB05407000 NJ Primary

Addresses

Primary practice location

49 Veronica Ave
Suite 105
Somerset, NJ 08873-6802

Mailing address

49 Veronica Ave
Suite 105
Somerset, NJ 08873-6802
Phone (732) 246-3066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001153 NJ Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 0345209904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Rowan University School of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

443 Northfield Ave
Suite 204
West Orange, NJ 07052-3093
Phone (732) 246-3066

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05407000NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Apr 7, 2021 Accepting new patients
Sleep Associates of Central Jersey LLC Specialist Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

479 Highway 520
Ste A203
Marlboro, NJ 07746
Phone (732) 982-2952

404 Lippincott Dr
Marlton, NJ 08053

81 Veronica Ave
Ste 201
Somerset, NJ 08873
Phone (732) 246-1441

49 Veronica Ave
Somerset, NJ 08873
Phone (732) 640-5327

49 Veronica Ave
Ste 105
Somerset, NJ 08873
Phone (732) 246-3066

443 Northfield Ave
Ste 204
West Orange, NJ 07052
Phone (732) 246-3066

Interoperability endpoints

  • Direct secure messaging: ldavanzo100683@epicdirect.rwjbh.org
  • Direct secure messaging: lawrence.davanzo.1@18614.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1902834708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "address_2": "SUITE 105",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-246-3066",
            "fax_number": "732-246-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "address_2": "SUITE 105",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-246-3066",
            "fax_number": "732-246-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANZO",
        "first_name": "LAWRENCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB05407000",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB05407000",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB05407000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.