Individual provider Active NPI

Steven Peskin, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1215032263
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06362300 Issued in NJ
Practice address
277 George St
New Brunswick, NJ 08901-1311
Phone
(732) 235-6700
Fax
(732) 235-6726
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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 25MA06362300 NJ Primary

Addresses

Primary practice location

277 George St
New Brunswick, NJ 08901-1311

Mailing address

38 Woodland Dr
Belle Mead, NJ 08502-5523
Phone (609) 462-4900

Other identifiers 1

IdentifierTypeStateIssuer
0082848MedicaidNJ

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
I20051213000105 NJ Practitioner - Internal Medicine 0749201242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers RWJ Eric B. Chandler Health CenterGroup PAC ID 0042111601, 27 clinicians

Practice addresses (Care Compare)

123 Church St
New Brunswick, NJ 08901-2001
Phone (732) 235-6700

277 George St
New Brunswick, NJ 08901-1311

277 George St
New Brunswick, NJ 08901-1476
Phone (732) 235-6700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Nov 7, 2009 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Nov 7, 2009 Accepting new patients

Locations

277 George St
Rm 165
New Brunswick, NJ 08901

123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052

277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700

Interoperability endpoints

  • Direct secure messaging: speskin17108@epicdirect.rwjbh.org
  • FHIR API: https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4
  • Direct secure messaging: steven.peskin.1@31873.direct.athenahealth.com

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1215032263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WOODLAND DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025523",
            "telephone_number": "609-462-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011311",
            "telephone_number": "732-235-6700",
            "fax_number": "732-235-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESKIN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06362300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082848",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.