Individual provider Active NPI

Peter Joseph Senatore Jr., MD

  • Colon & Rectal Surgery Physician
  • Vineland, NJ
National Provider Identifier
1194719039
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MA09377100 Issued in NJ
Practice address
1505 W Sherman Ave Ste B
Vineland, NJ 08360-7059
Phone
(856) 641-8635
Fax
(856) 641-8636
NPI assigned
Sep 7, 2005
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA09377100 NJ
Colon & Rectal Surgery Physician 208C00000X 25MA09377100 NJ Primary

Addresses

Primary practice location

1505 W Sherman Ave Ste B
Vineland, NJ 08360-7059

Mailing address

1102 E Chestnut Ave
Vineland, NJ 08360-5002
Phone (856) 213-6375

Other practice location 1

155 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2639
Phone (856) 641-8635

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
I20140411001222 NJ Practitioner - Colorectal Surgery (Proctology) 6800788241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Johns Hopkins University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-7960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Surgical Specialists, Inc CurrentSince Apr 1, 2008 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Dec 30, 2013 Accepting new patients
South Shore Surgical Specialists LLC PastSince Apr 1, 2008 Accepting new patients

Locations

780 Main St
Ste 2A
South Weymouth, MA 02190
Phone (781) 331-4432

155 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 223-8930

698 Mullica Hill Rd
Ste 300
Mullica Hill, NJ 08062
Phone (856) 508-3845

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1102 E Chestnut Ave
Vineland, NJ 08360
Phone (856) 213-6375

1206 W Sherman Ave
Bldg 2A
Vineland, NJ 08360
Phone (856) 696-9933

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1505 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 641-8635

2848 S Delsea Dr
Ste 4B
Vineland, NJ 08360
Phone (856) 205-7070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1194719039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605002",
            "telephone_number": "856-213-6375",
            "fax_number": "856-213-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE STE B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "856-641-8635",
            "fax_number": "856-641-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Bridgeton Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622639",
            "country_code": "US",
            "telephone_number": "856-641-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENATORE",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09377100",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA09377100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.