Organization Active NPI

Peak Medical, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Berkeley Heights, NJ
National Provider Identifier
1053632893
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PEAK MEDICAL, LLC
Practice address
492 Springfield Ave
Suite a
Berkeley Heights, NJ 07922-1112
Phone
(908) 665-0770
Fax
(908) 665-0006
NPI assigned
Jun 16, 2010
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Michael George Carbone
Title
President
Phone
(908) 665-0770

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Acupuncturist 171100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
Pain Medicine Physician 208VP0000X
Physical Therapist 225100000X
Physical Therapy Assistant 225200000X

Addresses

Primary practice location

492 Springfield Ave
Suite a
Berkeley Heights, NJ 07922-1112

Mailing address

492 Springfield Ave
Suite a
Berkeley Heights, NJ 07922-1112
Phone (908) 665-0770

National Provider Directory

National Provider Directory

Locations

492 Springfield Ave
#A
Berkeley Heights, NJ 07922
Phone (908) 665-0770

492 Springfield Ave
Ste A
Berkeley Heights, NJ 07922
Phone (908) 665-0770

Practitioners & affiliated clinicians

Practitioners 7

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": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1053632893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 SPRINGFIELD AVE",
            "address_2": "SUITE A",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221112",
            "telephone_number": "908-665-0770",
            "fax_number": "908-665-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 SPRINGFIELD AVE",
            "address_2": "SUITE A",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221112",
            "telephone_number": "908-665-0770",
            "fax_number": "908-665-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-665-0770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.