Peninsula Emergency Associates PA

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

PENINSULA EMERGENCY ASSOCIATES PA

Practice address

29 E 29TH St
Bayonne, NJ 07002-4654

Phone

(201) 858-5000

NPI assigned

Mar 13, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dane Clarke, MD

Title

President

Phone

(732) 212-0051

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph John Calabro, DO

  • Emergency Medicine Physician
  • Newark, NJ
  • NPI 1972504413
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1205007622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEST GILBERT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-212-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-858-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA EMERGENCY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-212-0051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DH1861",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• August D. Pellegrini Jr., D.D.S.
• Marco Antonio Pelosi III, MD
• Marco Antonio Pelosi II, MD
• Rosenna Davita Hinnant Pemberton, LPC
• Renee Eva Pena
• Peninsula Surgery Center, LLC
• Nicole Ashley Perez, OTR/L
• Perfect Home Care
• Perfect Medical Transportation Inc
• Marina Perlov, MD

• Emergency Care Clinic/Center in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Emergency Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.