NPIMap

Individual provider Active NPI

Peter Rex Honig, DO

  • Adult Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1194777466
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS006248L Issued in PA
Practice address
1805 S Broad St
Philadelphia, PA 19148-2115
Phone
(215) 467-7666
Fax
(215) 467-1780
NPI assigned
May 16, 2006
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS006248L PA Primary

Addresses

Primary practice location

1805 S Broad St
Philadelphia, PA 19148-2115

Mailing address

1805 S Broad St
Philadelphia, PA 19148-2115
Phone (215) 467-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100623000284 PA Practitioner - General Practice 3971634791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peter R Honig DO PCGroup PAC ID 6507996238, 2 clinicians

Practice addresses (Care Compare)

1805 S Broad St
Philadelphia, PA 19148-2115
Phone (215) 467-7666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006248LPAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter R Honig DO PC CurrentSince Jul 1, 1987 Accepting new patients
Ivy Hill Post Acute Nursing & Rehabilitation Past Accepting new patients
Papermill Acquisition LLC Past Accepting new patients
Optimum Personal Care Physicians LLC Past Accepting new patients
10400 Roosevelt Operating, LLC Past Accepting new patients
2509 South Fourth Operating, LLC Past Accepting new patients
Vitas Healthcare Corporation Atlantic Adult Medicine Past Accepting new patients

Locations

2509 S 4th St
Philadelphia, PA 19148
Phone (215) 271-1080

Interoperability endpoints

  • Direct secure messaging: peter.honig@prem.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Monica Center for Rehabilitation & Health CarePhiladelphia, PA, CCN 395558 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 28, 2023
Nov 28, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 11

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1194777466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482115",
            "telephone_number": "215-467-7666",
            "fax_number": "215-467-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482115",
            "telephone_number": "215-467-7666",
            "fax_number": "215-467-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONIG",
        "first_name": "PETER",
        "middle_name": "REX",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OS006248L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.