Individual provider Active NPI

Peter Schlossberg, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
National Provider Identifier
1063483154
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
1435011 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032
Phone
(212) 305-9335
Fax
(212) 305-8626
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1435011 NY
Vascular & Interventional Radiology Physician 2085R0204X 35.150160 OH
Vascular & Interventional Radiology Physician 2085R0204X 1435011 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X ME83378 FL

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032

Mailing address

630 W 168TH St
New York, NY 10032-3725
Phone (212) 305-1948

Other practice location 1

395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315

Other identifiers 4

IdentifierTypeStateIssuer
02186203OtherNYGROUP MEDICAID
W35021OtherNYGROUP MEDICARE#
1467560854OtherNYGROUP NPI#
01610219MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, WV, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20041011000581 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9739149147 Reassigns benefits to 1 organization
I20060428000302 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9739149147 Reassigns benefits to 4 organizations
I20240925004656 WV Practitioner - Diagnostic Radiology 9739149147 Reassigns benefits to 1 organization
I20250102001980 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9739149147 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83378FLMDVascular & Interventional Radiology Physician
1435011NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Oct 1, 2017 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Apr 1, 2006 Accepting new patients
Columbia/Newyork-Presbyterian Advanced Imaging Inc. CurrentSince Nov 23, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 26, 2026 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2026 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 7, 2024 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Nyumc Radiology Associates Diagnostic Radiology Past Accepting new patients
North Carolina Baptist Hospital Past Accepting new patients
Lashinsky and Wininger, M.D. P.C. PastSince Jan 26, 2026 Accepting new patients
South Florida International Cardiology Consultants Inc Past Accepting new patients

Locations

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

2341 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-2121

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

2295 E 14th St
Ste 500
Winston Salem, NC 27105
Phone (336) 713-4485

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123

722 W 168th St
New York, NY 10032
Phone (212) 305-6754

630 W 168th St
#28
New York, NY 10032
Phone (212) 305-1948

630 W 168th St
New York, NY 10032
Phone (212) 305-1948

51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

Interoperability endpoints

  • Direct secure messaging: pes9021@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: pschlossberg3031936@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1063483154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-1948",
            "fax_number": "212-305-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-9335",
            "fax_number": "212-305-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLOSSBERG",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1435011",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.150160",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "1435011",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME83378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "02186203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE#",
            "identifier": "W35021",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI#",
            "identifier": "1467560854",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01610219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.