Individual provider Active NPI

Andras Peter, M.D.

  • Internal Medicine Physician
  • Avenel, NJ
National Provider Identifier
1154344646
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA72589 Issued in NJ
Practice address
1030 Saint Georges Ave
Suite 103a
Avenel, NJ 07001-1390
Phone
(732) 596-1666
Fax
(732) 596-0158
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA72589 NJ Primary

Addresses

Primary practice location

1030 Saint Georges Ave
Suite 103a
Avenel, NJ 07001-1390

Mailing address

1030 Saint Georges Ave
Suite 103a
Avenel, NJ 07001-1390
Phone (732) 596-1666

Other identifiers 1

IdentifierTypeStateIssuer
8651205MedicaidNJ

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
I20071116000036 NJ Practitioner - Internal MedicinePractitioner - Addiction Medicine 2466547526 Reassigns benefits to 1 organization
Practice locations: Avenel, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1030 Saint Georges Ave
Suite 103a
Avenel, NJ 07001-1330
Phone (732) 596-1666

32 Tennyson St
Carteret, NJ 07008-2330

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Venetian Care & Rehabilitation Center, LLC Nursing home, South Amboy, NJ, CCN 315518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72589NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A P Healthcare Services LLC Internal Medicine CurrentSince Jun 20, 2001 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

32 Tennyson St
Carteret, NJ 07008
Phone (732) 541-1118

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

Organizations & group practices 2

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 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154344646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "SUITE 103A",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-596-1666",
            "fax_number": "732-596-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "SUITE 103A",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-596-1666",
            "fax_number": "732-596-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "ANDRAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA72589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8651205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.