Active NPI
Kevin Edward Peifer
- Anesthesiology Physician
- Mt. Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA12619900
- Practice address
- 175 Madison Avenue, 1St Floor
Mt. Holly, NJ 08060 - Phone
- (609) 914-6000
- Fax
- (609) 914-6296
- NPI assigned
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 25MA12619900 | NJ | Primary |
Addresses
Primary practice location
175 Madison Avenue, 1St Floor
Mt. Holly, NJ 08060
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (609) 914-6000
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3600
Other practice location 2
218 Sunset Road Floor 2
Willingboro, NJ 08046
Phone (609) 835-2900
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpeifer304054@directvirtua.org | Direct | |
| Direct Messaging Address | kpeifer304054@directvirtua.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Madison Ave
Mount Holly, NJ 08060-2038
218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
- Virtua Mount Holly Hospital
- Virtua Willingboro Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12619900 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Anesthesiology | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000
218 Sunset Rd
Fl 2
Willingboro, NJ 08046
Phone (609) 444-0599
Interoperability endpoints
- kpeifer304054@directvirtua.org
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1023647641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "609-914-6000",
"fax_number": "609-914-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVENUE, 1ST FLOOR",
"city": "MT. HOLLY",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-914-6000",
"fax_number": "609-914-6296"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060300001",
"country_code": "US",
"telephone_number": "860-679-3600",
"fax_number": "860-679-1275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 Sunset Road Floor 2",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "08046",
"country_code": "US",
"telephone_number": "609-835-2900",
"fax_number": "609-444-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEIFER",
"first_name": "KEVIN",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA12619900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpeifer304054@directvirtua.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "218 Sunset Road Floor 2",
"city": "Willingboro",
"state": "NJ",
"country_code": "US",
"postal_code": "08046",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpeifer304054@directvirtua.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "175 Madison Avenue, 1st Floor",
"city": "Mt. Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "08060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mt. Holly, NJ
- Shilpa Patel, C.R.N.A
- Swati Hasmukh Patel, M.D.
- Urvashi Bhavesh Patel, MD
- Kathleen Paterson, PMHNP
- Jennifer Pedersen
- Brian Peng, D.O.
- Allyssa Vendiola Perez
- Linda Rose Perice
- Personalized Independent Living Opporuntities & Training Services
- Personalized Independent Living Opporuntities & Training Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.