Provider Demographics
NPI:1699790980
Name:SANZONE, JOHN J (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:SANZONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:1515 BROAD ST STE B120
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3059
Practice Address - Country:US
Practice Address - Phone:973-873-7000
Practice Address - Fax:973-743-8943
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06565100208800000X
NJ25MA65651208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ340015352OtherRAILROAD MEDICARE ID#
NJ1006527OtherAETNA HMO#
NJ5767584OtherAETNA PPO#
NJP592462OtherOXFORD ID#
NJ0463512000OtherAMERIHEALTH ID#
NJZC4705OtherHEALTHNET
NJ58T521OtherEMPIRE BCBS (CLIFTON)
NJ1099961OtherGHI PPO
NJ398316OtherWELLCARE
NJ58T522OtherEMPIRE BCBS (WAYNE)
NJ5767584OtherAETNA PPO#