Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael J. Fidanzato, MD, PA

Organization Specialist · NPI 1164680112

Michael J. Fidanzato, MD, PA provides Specialist services in Princeton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Ewing St Ste C7
Princeton, NJ 08540-2757 Not confirmed with CMS for 18 years — call before visiting
Phone: (609) 921-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA54952 (NJ)

Record details

NPI number1164680112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Fidanzato — Md · (609) 921-7620
NPI enumeratedMay 27, 2008
Last updated in NPPESMay 27, 2008
Mailing address601 Ewing St, Suite C7, Princeton, NJ 08540-2757

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