Active NPI
Nancy Castellucci Peters, MD
- Internal Medicine Physician
- Colts Neck, NJ
National Provider Identifier
1043300577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA66367
- Practice address
- 281 Route 34
Suite 813
Colts Neck, NJ 07722-2439 - Phone
- (732) 431-2620
- Fax
- (732) 431-3707
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA66367 | NJ | Primary |
Addresses
Primary practice location
281 Route 34
Suite 813
Colts Neck, NJ 07722-2439
Mailing address
281 Route 34
Suite 813
Colts Neck, NJ 07722-2439
Phone (732) 431-2620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0312142 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110404000411 | NJ | Practitioner - Internal Medicine | 3072797844 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Practice Associates Medical Group
Practice addresses (Care Compare)
281 State Route 34
Suite 813
Colts Neck, NJ 07722-2440
Phone (732) 431-2620
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Centrastate Medical Center
- Ocean Medical Center
- Monmouth Medical Center
- Bayshore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA66367 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Internal Medicine | Current | Accepting new patients |
| Kenneth Faistl, MD,PA | Past | Accepting new patients |
Locations
281 State Route 34
Ste 813
Colts Neck, NJ 07722
Phone (732) 431-2620
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
Interoperability endpoints
- nancy.peters.p1@direct.fpcs.nextgenshare.com
- npeters409106@direct.ahsys.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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Internal Medicine, NJ
-
- Family Medicine Physician
- Freehold, NJ
- NPI 1942277223
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1043300577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 ROUTE 34",
"address_2": "SUITE 813",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077222439",
"telephone_number": "732-431-2620",
"fax_number": "732-431-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 ROUTE 34",
"address_2": "SUITE 813",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077222439",
"telephone_number": "732-431-2620",
"fax_number": "732-431-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "NANCY",
"middle_name": "CASTELLUCCI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA66367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0312142",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colts Neck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.