Individual provider Active NPI

Concettina M Peloro, M.D.

  • MOHS-Micrographic Surgery Physician
  • Monroe TWP, NJ
National Provider Identifier
1174588321
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25MA07332200 Issued in NJ
Practice address
5 Centre Dr
Monroe TWP, NJ 08831-1864
Phone
(609) 683-4999
Fax
(609) 683-0298
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 25MA07332200 NJ Primary

Addresses

Primary practice location

5 Centre Dr
Monroe TWP, NJ 08831-1864

Mailing address

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

Other identifiers 1

IdentifierTypeStateIssuer
223777703OtherCOMMERCIAL INSURANCES

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
I20100831000927 NJ Practitioner - Dermatology 0749304558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Dermatology AssociatespcGroup PAC ID 1052377215, 16 clinicians

Practice addresses (Care Compare)

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

Merit-based Incentive Payment System (MIPS)

Final score
98.04 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
93.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision80
Removal of tissue41
Removal of skin lesions61
Removal of skin cancer410
Skin biopsy54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Dermatology Associates PC CurrentSince Jun 9, 2003 Accepting new patients
Princeton Dermatology Associates II LLC CurrentSince Apr 1, 2026 Accepting new patients
Princeton Dermatology Associates Kendall Parkpc Past Accepting new patients

Locations

5 Centre Dr
Ste 1A
Monroe Township, NJ 08831
Phone (609) 655-4544

5 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 655-4544

1950 Route 27
Ste A
North Brunswick, NJ 08902
Phone (732) 297-8866

5 Plainsboro Rd
Ste 550
Plainsboro, NJ 08536
Phone (609) 269-9230

208 Bunn Dr
Princeton, NJ 08540
Phone (609) 683-4999

301 N Harrison St
Ste 1E
Princeton, NJ 08540
Phone (609) 683-4999

Organizations & group practices 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1174588321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTRE DR",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088311864",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELORO",
        "first_name": "CONCETTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA07332200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "223777703",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe TWP, NJ

Sources for this page

Verify at the official NPI Registry.