NPIMap

Organization Active NPI

Federico Peguero, M.D., LLC

  • Surgery Physician
  • Bristol, PA
National Provider Identifier
1033300181
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD016059E Issued in PA
Legal business name
FEDERICO PEGUERO, M.D., LLC
Practice address
501 Bath Rd
Bristol, PA 19007-3101
Phone
(215) 785-9392
Fax
(215) 785-9734
NPI assigned
Aug 5, 2007
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Federico Peguero, M.D.NPI 1295770949
Title
President
Phone
(215) 785-9392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD016059E PA Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3101

Mailing address

PO Box 3010
Cherry Hill, NJ 08034-0269
Phone (215) 785-9392

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1033300181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3010",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340269",
            "telephone_number": "215-785-9392",
            "fax_number": "215-785-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9392",
            "fax_number": "215-785-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERICO PEGUERO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "PEGUERO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-785-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD016059E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.