Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124194816 Individual Practitioner Male Practitioner

Dr. Peter M. Blauzvern , DDS

Dentist - General Practice • Jericho, NY

Professional Overview & Biography Verified Profile Summary

Dr. Peter Blauzvern, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jericho, NY. Practice services are available at 366 N BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

366 N Broadway

Jericho, NY 117532025

Telephone 5166815800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jericho, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Jericho, NY (8411 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 NY 37688

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

10 Associated Practitioners
Dr. Christopher Gee , MD

Internal Medicine

NPI 1245398734

Doctor of Medicine (M.D.)

Dale Kassan , LMSW

Social Worker

NPI 1285875112

Licensed Master Social Worker

Dr. Mary Jenkins , MD

Family Medicine

NPI 1316005895

Doctor of Medicine (M.D.)

Renee Cooke , ANP

Nurse Practitioner - Adult Health

NPI 1316281579

Adult Nurse Practitioner

Rosalind Rose , LCSW

Counselor - Mental Health

NPI 1326040031

Licensed Clinical Social Worker

Dr. Ricky Munter , DDS

Dentist - General Practice

NPI 1336163997

Doctor of Dental Surgery

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 366 N BROADWAY, JERICHO, NY 117532025 (Tel: 5166815800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 366 N BROADWAY, JERICHO, NY 117532025 (Tel: 5166815800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER BLAUZVERN, DDS

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

Dentist (License #37688 in NY)

🟢
Initial NPI Registration & Enumeration November 27, 2006

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: 1124194816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

366 N Broadway

Jericho, NY 117532025

Phone: 5166815800

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.