Individual provider Active NPI

Nyota Afi Peace, M.D.

  • Obstetrics & Gynecology Physician
  • Clifton, NJ
National Provider Identifier
1104923846
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2005-01255 Issued in NC
Practice address
1033 US Highway 46
Ste. 102
Clifton, NJ 07013-2473
Phone
(973) 779-7979
Fax
(973) 779-7970
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2005-01255 NC Primary

Addresses

Primary practice location

1033 US Highway 46
Ste. 102
Clifton, NJ 07013-2473

Mailing address

1033 US Highway 46
Ste. 102
Clifton, NJ 07013-2473
Phone (973) 779-7979

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
I20100804000093 NJ Practitioner - Obstetrics/Gynecology 2264434778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Charles Haddad MDGroup PAC ID 7911229240, 2 clinicians

Practice addresses (Care Compare)

1033 Route 46 E
Suite 102
Clifton, NJ 07013-2448
Phone (973) 779-7979

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-01255NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan OB/GYN, P.a. CurrentSince Oct 6, 2025 Accepting new patients
Charles Haddad, MD Obstetrics & Gynecology CurrentSince Jan 6, 2018 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 24, 2014 Accepting new patients
Montclair Hospital LLC Past Accepting new patients

Locations

1033 US Highway 46
Ste 102
Clifton, NJ 07013
Phone (973) 779-7979

311 Bay Ave
Ste 101
Glen Ridge, NJ 07028
Phone (973) 509-3888

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

1973 Springfield Ave
Maplewood, NJ 07040
Phone (973) 313-2501

Interoperability endpoints

  • Direct secure messaging: nyota.peace.1@23386.direct.athenahealth.com
  • Direct secure messaging: npeace190106@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/23386/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1104923846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46",
            "address_2": "STE. 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132473",
            "telephone_number": "973-779-7979",
            "fax_number": "973-779-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46",
            "address_2": "STE. 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132473",
            "telephone_number": "973-779-7979",
            "fax_number": "973-779-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACE",
        "first_name": "NYOTA",
        "middle_name": "AFI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2005-01255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.