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: July 19, 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
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

Accepted 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.

Psychologist (Clinical)
366 N BROADWAY, SUITE 404
JERICHO, NY 11753
Counselor (Mental Health)
366 N BROADWAY, SUITE 404
JERICHO, NY 11753
Internal Medicine
366 N BROADWAY, SUITE 305
JERICHO, NY 11753
Family Medicine
366 N BROADWAY, SUITE 305
JERICHO, NY 11753
Social Worker (Clinical)
366 N BROADWAY, SUITE LE4
JERICHO, NY 11753
Specialist
366 N BROADWAY, STE 305
JERICHO, NY 11753
Occupational Therapist (Hand)
366 N BROADWAY
JERICHO, NY 11753
Chiropractor
366 N BROADWAY, SUITE LE2
JERICHO, NY 11753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124194816, enumerated as an "individual" on November 27, 2006.

The provider is located at 366 N BROADWAY JERICHO, NY 11753 and the phone number is (516) 681-5800.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.