Individual provider Active NPI

Peter Lapis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Forked River, NJ
National Provider Identifier
1164604153
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
33486 Issued in AZ
Practice address
540 Lacey Rd Ste 2B
Forked River, NJ 08731-1532
Phone
(732) 456-7777
Fax
(848) 251-2189
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 33486 AZ Primary

Addresses

Primary practice location

540 Lacey Rd Ste 2B
Forked River, NJ 08731-1532

Mailing address

1580 Lakewood Rd Ste 16a
Toms River, NJ 08755-3287
Phone (732) 456-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20111214000392 NJ Practitioner - PathologyPractitioner - Dermatology 7416122833 Reassigns benefits to 2 organizations
I20161205000015 PA Practitioner - Pathology 7416122833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

200 Perrine Rd
Suite 226
Old Bridge, NJ 08857-2871
Phone (732) 456-7777

2275 Route 33
Suite 303
Hamilton, NJ 08690-1748
Phone (732) 456-7777

469 Morris Ave
Suite 2
Elizabeth, NJ 07208-2904
Phone (908) 512-7900

540 Lacey Rd
Forked River, NJ 08731-1532
Phone (732) 456-7777

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
93.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33486AZMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince Mar 1, 2019 Accepting new patients
NJ Certified Dermatology PC CurrentSince Aug 4, 2017 Accepting new patients
Clark Dermatology LLC Past Accepting new patients

Locations

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

1580 Lakewood Rd
Ste 16A
Toms River, NJ 08755
Phone (732) 966-5493

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

2895 Hamilton Blvd
Ste 202
Allentown, PA 18104
Phone (610) 432-8312

93 S West End Blvd
Ste 103
Quakertown, PA 18951
Phone (215) 536-8763

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1164604153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 16A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LACEY RD STE 2B",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311532",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPIS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "33486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.