Individual provider Active NPI

Peimei Qu, M.D.

  • Internal Medicine Physician
  • Bridgewater, NJ
National Provider Identifier
1063431252
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA69927 Issued in NJ
Practice address
201 Union Ave
Suite 1a
Bridgewater, NJ 08807-3002
Phone
(908) 595-6330
Fax
(908) 595-6331
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA69927 NJ Primary

Addresses

Primary practice location

201 Union Ave
Suite 1a
Bridgewater, NJ 08807-3002

Mailing address

201 Union Ave Suite 1a
Bridgewater, NJ 08807-3002
Phone (908) 595-6330

Other identifiers 1

IdentifierTypeStateIssuer
0037150MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000928 NJ Practitioner - Internal Medicine 1658329784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Medical Associates, PCGroup PAC ID 2062474042, 2 clinicians

Practice addresses (Care Compare)

15 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 595-6330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA69927NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Associates, PC Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients

Locations

15 Monroe St
Bridgewater, NJ 08807
Phone (908) 575-0880

201 Union Ave
Ste A1
Bridgewater, NJ 08807
Phone (908) 575-0880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHEACA/Endpoint/EHEACA
  • Direct secure messaging: pqu59158@epicdirect.rwjbh.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1063431252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE SUITE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-595-6330",
            "fax_number": "908-535-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "SUITE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-595-6330",
            "fax_number": "908-595-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QU",
        "first_name": "PEIMEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA69927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037150",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.