Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Victor Venanzi, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1417038373

Dr. Michael Victor Venanzi, MD is an Obstetrics/Gynecology in Randolph, New Jersey. Qualified in 1977, 49 years ago. Practices with Lifeline Medical Associates LLC, a 151-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
49
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

390 Route 10 Ste 1
Randolph, NJ 07869-2141
Phone: (973) 328-1262
Fax: (973) 328-8576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MA03937700 (NJ)

Record details

NPI number1417038373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Lifeline Medical Associates Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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