Individual provider Active NPI

Peter Hart Denoble, M.D.

  • Orthopaedic Hand Surgery Physician
  • Wayne, NJ
National Provider Identifier
1285947689
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
25MA08917900 Issued in NJ
Practice address
2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250
Phone
(973) 898-5999
Fax
(973) 831-2025
NPI assigned
Jul 15, 2010
Last updated
May 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA08917900 NJ Primary

Addresses

Primary practice location

2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250

Mailing address

PO Box 4239
Wayne, NJ 07474-4239
Phone (973) 898-5999

Other practice location 1

1 W Ridgewood Ave Ste 302
Paramus, NJ 07652-2361
Phone (973) 898-5999

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
I20120220000441 NJ Practitioner - Orthopedic Surgery 2062670268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Massachusetts Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Orthopaedics of New JerseyGroup PAC ID 2860828241, 7 clinicians

Practice addresses (Care Compare)

2025 Hamburg Tpke
Suite C
Wayne, NJ 07470-6250
Phone (201) 572-7982

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Orthopaedics of New Jersey Hand Surgery CurrentSince Jan 1, 2020 Accepting new patients

Locations

1 W Ridgewood Ave
Ste 302
Paramus, NJ 07652
Phone (201) 251-6622

72 N Route 17
Paramus, NJ 07652
Phone (201) 751-2301

2025 Hamburg Tpke
Ste C
Wayne, NJ 07470
Phone (201) 572-7982

Organizations & group practices 1

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 6

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1285947689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4239",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744239",
            "telephone_number": "973-898-5999",
            "fax_number": "973-831-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706250",
            "telephone_number": "973-898-5999",
            "fax_number": "973-831-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Ridgewood Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522361",
            "country_code": "US",
            "telephone_number": "973-898-5999",
            "fax_number": "973-831-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENOBLE",
        "first_name": "PETER",
        "middle_name": "HART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA08917900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.