Active NPI
Peter M. Pasley, M.D., LLC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1083036685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 217034
- Legal business name
- PETER M. PASLEY, M.D., LLC
- Practice address
- 1339 York Ave
New York, NY 10021-4707 - Phone
- (917) 656-3087
- Fax
- (973) 746-9231
- NPI assigned
- Jan 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter M. Pasley, MD
- Title
- Owner
- Phone
- (917) 656-3087
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 217034 | NY | Primary |
Addresses
Primary practice location
1339 York Ave
New York, NY 10021-4707
Mailing address
21 Prescott Ave
Montclair, NJ 07042-5029
Phone (917) 656-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1104840503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389830400000",
"number": "1083036685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 PRESCOTT AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070425029",
"telephone_number": "917-656-3087",
"fax_number": "973-746-9231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214707",
"telephone_number": "917-656-3087",
"fax_number": "973-746-9231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER M. PASLEY, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A",
"authorized_official_last_name": "PASLEY",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-656-3087",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "217034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.