NPIMap

Individual provider Active NPI

Peter L Carrazzone, M.D.

  • Family Medicine Physician
  • Hawthorne, NJ
National Provider Identifier
1962430371
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04591200 Issued in NJ
Practice address
1114 Goffle Rd Ste 104
Hawthorne, NJ 07506-2014
Phone
(973) 636-9000
Fax
(833) 493-1245
NPI assigned
Jun 28, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04591200 NJ Primary

Addresses

Primary practice location

1114 Goffle Rd Ste 104
Hawthorne, NJ 07506-2014

Mailing address

271 Grove Ave Ste E
Verona, NJ 07044-1730
Phone (973) 559-3700

Other practice location 1

72 Hamburg Tpke Ste B
Riverdale, NJ 07457-1158
Phone (973) 696-6687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001178 NJ Practitioner - General Practice 9739134115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Medical Group PAGroup PAC ID 5092751842, 59 clinicians

Practice addresses (Care Compare)

1114 Goffle Rd
Suite 104
Hawthorne, NJ 07506-2014
Phone (973) 636-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04591200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Group, PA Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Primary Care for the Homebound PA Family Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

700 Route 46 E
Ste 450
Fairfield, NJ 07004
Phone (973) 559-3700

1114 Goffle Rd
Ste 104
Hawthorne, NJ 07506
Phone (973) 636-9000

535 High Mountain Rd
North Haledon, NJ 07508
Phone (973) 427-2711

535 High Mountain Rd
Ste 111
North Haledon, NJ 07508
Phone (973) 305-8300

72 Hamburg Tpke
Riverdale, NJ 07457
Phone (973) 696-6687

72 Hamburg Tpke
Ste B
Riverdale, NJ 07457
Phone (973) 696-6687

271 Grove Ave
Ste A
Verona, NJ 07044
Phone (973) 239-2600

271 Grove Ave
Ste E
Verona, NJ 07044
Phone (973) 559-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
  • Direct secure messaging: peter.carrazzone.1@25493.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 8

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1962430371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE E",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441730",
            "telephone_number": "973-559-3700",
            "fax_number": "833-484-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GOFFLE RD STE 104",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062014",
            "telephone_number": "973-636-9000",
            "fax_number": "833-493-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Hamburg Tpke Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "NJ",
            "postal_code": "074571158",
            "country_code": "US",
            "telephone_number": "973-696-6687",
            "fax_number": "833-488-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRAZZONE",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

Verify at the official NPI Registry.