Healthcare Provider Details

I. General information

NPI: 1427250539
Provider Name (Legal Business Name): JOHN D. LORENZETTI, M.D.,F.A.C.S.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 SHORE RD STE 201
NORTHFIELD NJ
08225-2136
US

IV. Provider business mailing address

2605 SHORE RD STE 201
NORTHFIELD NJ
08225-2136
US

V. Phone/Fax

Practice location:
  • Phone: 609-677-0088
  • Fax: 609-677-9004
Mailing address:
  • Phone: 609-677-0088
  • Fax: 609-677-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN D LORENZETTI
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 609-677-0088