Peter S Staats, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MA07692700 Issued in NJ

Practice address

160 Avenue at the CMN
Suite 1
Shrewsbury, NJ 07702

Phone

(732) 380-0200

Fax

(732) 380-0124

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Pain Centers, LLC.

  • Pain Medicine (Anesthesiology) Physician
  • Shrewsbury, NJ
  • NPI 1801987078
  Medicare reassignment NPD
• Specialty Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1932290111
  Medicare reassignment NPD
• Premier Pain Centers, LLC.

  • Interventional Pain Medicine Physician
  • Shrewsbury, NJ
  • NPI 1306327259
  NPD
• NJ Spine Group, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Eatontown, NJ
  • NPI 1083773857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1013909340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": ", EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE CMN",
            "address_2": "SUITE 1",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-380-0200",
            "fax_number": "732-380-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA07692700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Monir Soliman, MD
• Nidhi Sondhi, DO
• Michael Lewis Soule, CRNA
• Specialty Anesthesia Associates, LLC
• Nancy Staats, MD
• Lawrence M. Stankovits, M.D.
• Donald Raymond Stanton, M.S.W., L.C.S.W.,
• Michael Stasik, PT,DPT
• Sarah Maccrae Stearns, PHD
• Syceria Tyesha-Michelle Stephens, APC-C

• Pain Medicine (Anesthesiology) Physician in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.