DR. PETER A DEFAZIO DMD
NPI 1770614331
Dentist - General Practice in Long Branch, NJ

Active since March 07, 2007
279 3RD AVE, SUITE 303, LONG BRANCH, NJ 07740(732) 222-1533(732) 222-7715 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter A Defazio Dmd NPPES

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

DR. PETER A DEFAZIO DMD (NPI 1770614331) is an individual general practice provider in Long Branch, New Jersey, licensed in New Jersey (17239) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770614331
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER A DEFAZIOCredential: DMD
Location Address279 3RD AVE, SUITE 303Long Branch, NJ 07740-6205
Mailing Address279 3rd Ave, Suite 303Long Branch, NJ 07740-6205 · (732) 222-1533 · Fax (732) 222-7715
Fax(732) 222-7715
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1770614331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · 17239
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.
279 3RD AVE, Long Branch, NJ 07740

Other Names 1

Other Name (5)Mrs. Tracey Defazio

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
279 3RD AVE, SUITE 403
LONG BRANCH, NJ 07740
Obstetrics & Gynecology (Gynecology)
279 3RD AVE, SUITE 307
LONG BRANCH, NJ 07740
Chiropractor (Neurology)
279 3RD AVE, SUITE 404
LONG BRANCH, NJ 07740
Specialist
279 3RD AVE, SUITE 301
LONG BRANCH, NJ 07740
Clinical Medical Laboratory
279 3RD AVE, SUITE 401
LONG BRANCH, NJ 07740
Physical Therapist
279 3RD AVE, SUITE 206
LONG BRANCH, NJ 07740
Pediatrics (Pediatric Gastroenterology)
279 3RD AVE, SUITE 101
LONG BRANCH, NJ 07740
Internal Medicine
279 3RD AVE, SUITE 405
LONG BRANCH, NJ 07740

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 Defazio's NPI number?

The NPI number for Peter Defazio is 1770614331. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Mrs. Tracey Defazio.

Where is Peter Defazio located?

Peter Defazio practices at 279 3rd Ave Suite 303, Long Branch, NJ 07740. The listed phone number is (732) 222-1533.

What is Peter Defazio's specialty?

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

What insurance does Peter Defazio accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Peter Defazio 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 Defazio 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.