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DR. PETER M. BLAUZVERN DDS
NPI 1124194816
Dentist - General Practice in Jericho, NY

Active since November 27, 2006PECOS Enrolled
366 N BROADWAY, JERICHO, NY 11753(516) 681-5800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter M. Blauzvern Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER M. BLAUZVERN DDS (NPI 1124194816) is an individual general practice provider in Jericho, New York, licensed in New York (37688) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124194816
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER M. BLAUZVERNCredential: DDS
Location Address366 N BROADWAYJericho, NY 11753-2025
Mailing Address366 N BroadwayJericho, NY 11753-2025 · (516) 681-5800
Phone(516) 681-5800
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124194816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 37688
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
366 N BROADWAY, Jericho, NY 11753
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter M. Blauzvern Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER E GEE MD
Internal Medicine
366 N BROADWAY, SUITE 305
JERICHO, NY 11753
Nassau County (516) 935-7272
MS. DALE SHARON KASSAN LMSW
Social Worker
366 N BROADWAY, SUITE 404
JERICHO, NY 11753
Nassau County (516) 662-3346
DR. MARY DALE JENKINS MD
Family Medicine
366 N BROADWAY, SUITE 305
JERICHO, NY 11753
Nassau County (516) 935-7272
RENEE COOKE ANP
Nurse Practitioner (Adult Health)
366 N BROADWAY
JERICHO, NY 11753
Nassau County (516) 935-7272
ROSALIND ROSE L.C.S.W.
Counselor (Mental Health)
366 N BROADWAY, SUITE 404
JERICHO, NY 11753
Nassau County (516) 935-0068
DR. RICKY SCOTT MUNTER D.D.S.
Dentist (General Practice)
366 N BROADWAY, SUITE 302
JERICHO, NY 11753
Nassau County (516) 935-0066
STEVEN VINCENT MACAGNONE DC
Chiropractor
366 N BROADWAY, SUITE LE2
JERICHO, NY 11753
Nassau County (516) 433-4242
EATING DISORDER TREATMENT COLLABORATIVE/FEED
Dietitian, Registered
366 N BROADWAY, SUITE PHW-1
JERICHO, NY 11753
Nassau County (516) 513-1284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Blauzvern's NPI number?

The NPI number for Peter Blauzvern is 1124194816. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Peter Blauzvern located?

Peter Blauzvern practices at 366 N Broadway, Jericho, NY 11753. The listed phone number is (516) 681-5800.

What is Peter Blauzvern's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Blauzvern enrolled in Medicare?

Yes. Peter Blauzvern is registered in the Medicare PECOS enrollment system.

What insurance does Peter Blauzvern accept?

Health plans from Humana list Peter Blauzvern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Blauzvern was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.