Thomas R Peterson MD PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MA5194 Issued in NJ

Legal business name

THOMAS R PETERSON MD PC

Practice address

140 Prospect Ave
Suite 18
Hackensack, NJ 07600

Phone

(201) 525-0500

Fax

(201) 525-1171

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas R Peterson, MDNPI 1295800043

Title

President

Phone

(201) 525-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas R Peterson, MD

  • Neurological Surgery Physician
  • Hackensack, NJ
  • NPI 1295800043
  Authorized official Same address or phone

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164522629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "SUITE 18",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07600",
            "telephone_number": "201-525-0500",
            "fax_number": "201-525-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "SUITE 18",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07600",
            "telephone_number": "201-525-0500",
            "fax_number": "201-525-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R PETERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-525-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "MA5194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Joseph Thievon, DPT
• Thomas L Slamovits MD PC
• Dianne Thomas, MD
• Kurt Florian P Thomas, MD, MA, PHD, MS
• Taylor Thompsen
• Alecia Marjory Thompson-Branch, MD
• Sumena Thongrod, DO

• Neurological Surgery Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.