Individual provider Active NPI

Peter Ernest Quintieri Jr., M.D.

  • Psychiatry Physician
  • Ventnor City, NJ
National Provider Identifier
1407284722
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
60 P90900 Issued in NY
Practice address
5000 Boardwalk
Unit #1809
Ventnor City, NJ 08406-2915
Phone
(856) 278-3790
NPI assigned
Oct 23, 2013
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60 P90900 NY Primary

Addresses

Primary practice location

5000 Boardwalk
Unit #1809
Ventnor City, NJ 08406-2915

Mailing address

5000 Boardwalk
Unit #1809
Ventnor City, NJ 08406-2915
Phone (856) 278-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60 P90900NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1407284722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BOARDWALK",
            "address_2": "UNIT #1809",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062915",
            "telephone_number": "856-278-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BOARDWALK",
            "address_2": "UNIT #1809",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062915",
            "telephone_number": "856-278-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTIERI",
        "first_name": "PETER",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60 P90900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.