Individual provider Active NPI

Peter M. Pasley, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1104840503
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09044800 Issued in NJ
Practice address
29 Washington SQ W
New York, NY 10011-9180
Phone
(212) 982-5551
Fax
(212) 254-3243
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217034 NY
Internal Medicine Physician 207R00000X 25MA09044800 NJ Primary

Addresses

Primary practice location

29 Washington SQ W
New York, NY 10011-9180

Mailing address

PO Box 43420
Upper Montclair, NJ 07043-0420
Phone (917) 656-3087

Other identifiers 1

IdentifierTypeStateIssuer
02184178MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050302000626 NY Practitioner - Internal Medicine 1254384159 Reassigns benefits to 1 organization
I20120409000578 NJ Practitioner - Internal Medicine 1254384159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

324 Palisade Ave
FL 2
Jersey City, NJ 07307-1791
Phone (201) 386-1400

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Hospice, West Orange, NJ, CCN 311507
  • Calvary Home Health Agency and Hospice Care Hospice, Bronx, NY, CCN 331562
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Livingston Post Acute Care Nursing home, Livingston, NJ, CCN 315526
  • Mary Manning Walsh Nursing Home Co Inc Nursing home, New York, NY, CCN 335050

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09044800NJMDInternal Medicine Physician
217034NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter M. Pasley, M.D., LLC Internal Medicine CurrentSince Mar 25, 2014 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 16, 2013 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Jan 16, 2013 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2019 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Livingston Post Acute Operator LLC Past Accepting new patients
University Hospital Past Accepting new patients
Mary Manning Walsh Nursing Home Co Inc Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients

Locations

5 Franklin Ave
Ste 302
Belleville, NJ 07109
Phone (973) 759-1221

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

264 Boyden Ave
Maplewood, NJ 07040
Phone (973) 761-0764

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

560 Springfield Ave
Ste 101
Westfield, NJ 07090
Phone (908) 233-8571

1339 York Ave
New York, NY 10021
Phone (212) 249-4970

Interoperability endpoints

  • Direct secure messaging: ppasley77224@direct.optum.com
  • Direct secure messaging: ppasley249518@epicdirect.rwjbh.org

Organizations & group practices 10

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 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1104840503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43420",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070430420",
            "telephone_number": "917-656-3087",
            "fax_number": "212-254-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SQ W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119180",
            "telephone_number": "212-982-5551",
            "fax_number": "212-254-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASLEY",
        "first_name": "PETER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217034",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09044800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02184178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.