Peter a Davanzo MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PETER A DAVANZO MD PC

Practice address

350 Sparta Ave
Sparta, NJ 07871-1150

Phone

(973) 729-8580

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter A Davanzo, MDNPI 1750497160

Title

President

Phone

(973) 729-8580

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter A Davanzo, MD

  • Anesthesiology Physician
  • Sparta, NJ
  • NPI 1750497160
  Authorized official Same address or phone

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922114230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WEST PORT PLAZA",
            "address_2": "STE 270",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-453-0600",
            "fax_number": "314-453-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711150",
            "telephone_number": "973-729-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A DAVANZO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVANZO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-729-8580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Pedersen, LCSW, LCADC
• Shirley Lacaden Pegollo, APN
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• Kyle Penberthy Leroy, MSED
• Yashiris Peralta Lendof
• Kurt James Peters, M.D.
• Anthony D Pezzulo, R.PH.
• Philip Caswell (Family Foot & Ankle Care)
• Staci Pichette, PT
• Danielle Pignatiello, LCSW

• Anesthesiology Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Anesthesiology Physician in New Jersey

• 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.