Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770614331 Individual Practitioner Male Practitioner

Dr. Peter A Defazio , DMD

Dentist - General Practice • Long Branch, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Peter Defazio, DMD is a registered healthcare professional specializing in Dentist - General Practice in Long Branch, NJ. Practice services are available at 279 3RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

279 3rd Ave
Suite 303

Long Branch, NJ 077406205

Telephone 7322221533
Fax 7322227715
Associated Practice Facility / Clinic
🏢 Mihir K. Maniar Do Facility NPI 1255499034

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Long Branch, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Long Branch, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 17239

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Dr. Walter Rose , MD

Radiology - Diagnostic Radiology

NPI 1033281530

Doctor of Medicine (M.D.)

NPI 1093704199

Doctor of Medicine (M.D.)

Dr. Gilbert Solitare , MD

Clinical Medical Laboratory

NPI 1093851560

Doctor of Medicine (M.D.)

Dr. Tina Rakitt , MD

Pediatrics - Pediatric Gastroenterology

NPI 1124255534

Doctor of Medicine (M.D.)

Irving Stein

Radiology - Diagnostic Radiology

NPI 1225109366
Dr. George Davis , MD

Internal Medicine - Pulmonary Disease

NPI 1295895993

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 279 3RD AVE, SUITE 303, LONG BRANCH, NJ 077406205 (Tel: 7322221533)

📍
Updated Business Mailing Address July 08, 2007

Registered at 279 3RD AVE, SUITE 303, LONG BRANCH, NJ 077406205 (Tel: 7322221533)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER DEFAZIO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17239 in NJ)

🟢
Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770614331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

279 3rd Ave, Suite 303

Long Branch, NJ 077406205

Phone: 7322221533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.