Individual provider Active NPI

Peter H Soloway, MD

  • Diagnostic Radiology Physician
  • Bayonne, NJ
National Provider Identifier
1396752242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MA48373 Issued in NJ
Practice address
657-659 Broadway
Bayonne, NJ 07002
Phone
(201) 437-3007
Fax
(201) 437-1418
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 165599-1 NY
Diagnostic Radiology Physician 2085R0202X MA48373 NJ Primary

Addresses

Primary practice location

657-659 Broadway
Bayonne, NJ 07002

Mailing address

657-659 Broadway
Bayonne, NJ 07002
Phone (201) 437-3007

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
I20050829000618 NJ Practitioner - Diagnostic Radiology 4082645171 Reassigns benefits to 1 organization
Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Contemporary Diagnostic Imaging LLCGroup PAC ID 1850510470, 40 clinicians

Practice addresses (Care Compare)

75 Passaic Ave
Belleville, NJ 07109-1865
Phone (973) 798-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA48373NJMDDiagnostic Radiology Physician
165599-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Diagnostic Imaging, LLC CurrentSince Nov 25, 2024 Accepting new patients
City Radiology Center LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Brooklyn 83Rd St Medical Diagnostic Radiology Past Accepting new patients
Hudson Radiology Center Diagnostic Radiology Past Accepting new patients

Locations

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

55 Meadowlands Pkwy
Ste 200
Secaucus, NJ 07094
Phone (201) 392-3100

Organizations & group practices 4

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 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396752242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657-659 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-437-3007",
            "fax_number": "201-437-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657-659 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-437-3007",
            "fax_number": "201-437-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOWAY",
        "first_name": "PETER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "165599-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA48373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.