NPIMap

Individual provider Active NPI

Peter John Kuzmick, DO

  • Internal Medicine Physician
  • Manasquan, NJ
National Provider Identifier
1194751891
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04006100 Issued in NJ
Practice address
235 RT 71
Manasquan, NJ 08736
Phone
(732) 223-4300
Fax
(732) 223-5273
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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 25MA04006100 NJ Primary

Addresses

Primary practice location

235 RT 71
Manasquan, NJ 08736

Mailing address

235 RT 71
Manasquan, NJ 08736
Phone (732) 223-4300

Other identifiers 1

IdentifierTypeStateIssuer
1250001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000737 NJ Practitioner - Internal Medicine 8123177177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

235 Route 71
Manasquan, NJ 08736-2806
Phone (732) 223-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04006100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC Internal Medicine CurrentSince Jul 11, 2023 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Sea Girt Medical Associates PC Current Accepting new patients
Shore Health Group, PC Internal Medicine Past Accepting new patients
CMG Medical Group I LLC Past Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

235 Route 71
Manasquan, NJ 08736
Phone (732) 223-4300

Interoperability endpoints

  • Direct secure messaging: peter.kuzmick.1@18614.direct.athenahealth.com
  • Direct secure messaging: peterkuzmick@sgma.allscriptsdirect.net

Organizations & group practices 6

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 8

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1194751891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 RT 71",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-4300",
            "fax_number": "732-223-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 RT 71",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-4300",
            "fax_number": "732-223-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMICK",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04006100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1250001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.