Peter James Federici, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA03808900 Issued in NJ

Practice address

2815 E Chestnut Avenue
Vineland, NJ 08361-8466

Phone

(856) 691-3273

Fax

(856) 691-4649

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1265464473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 E CHESTNUT AVENUE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618466",
            "telephone_number": "856-691-3273",
            "fax_number": "856-691-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 E CHESTNUT AVENUE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618466",
            "telephone_number": "856-691-3273",
            "fax_number": "856-691-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03808900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2501601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqualyn S Fanelle, CRNA
• Joseph William Fanelle, MD
• Ehsan Farag, AGNP-C
• Bianca Farmer
• Tyrice Nichele Farrington
• Rami Fedil, MD
• Coulston Feldman
• Darya Feldman, MS, ATC
• Lina Lourdes Rabor Fellizar, M.D.
• Wendy Felton, LPN

• Urology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.