Active NPI
Nathaniel A Peardon, D.O.
- Urology Physician
- Holmdel, NJ
National Provider Identifier
1417996604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MB07585100
- Practice address
- 2080 Highway 35
Holmdel, NJ 07733-1031 - Phone
- (732) 671-5777
- Fax
- (732) 671-3230
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MB07585100 | NJ | Primary |
Addresses
Primary practice location
2080 Highway 35
Holmdel, NJ 07733-1031
Mailing address
PO Box 5220
Toms River, NJ 08754-5220
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00259537 | Other | RAILROAD MEDICARE | |
| 2399317 | Other | UNITED HEALTHCARE | |
| 7579224 | Other | CIGNA | |
| 3768497 | Other | AETNA | |
| P3598213 | Other | OXFORD | |
| 342024631 | Other | NJ | HORIZON BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Philadelphia College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16 Washington St
Suite 202
Morristown, NJ 07960-3976
Hospital & facility affiliations
- Bayshore Medical Center
- Raritan Bay Medical Center
- Riverview Medical Center
- Jersey Shore University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathaniel a. Peardon, D.O., LLC | Urology | Current | Accepting new patients |
Locations
1 Bethany Rd
Ste 71
Hazlet, NJ 07730
Phone (732) 671-5777
2080 State Route 35
Holmdel, NJ 07733
Phone (732) 706-7200
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
16 Washington St
Ste 202
Morristown, NJ 07960
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 and National Provider Directory roles.
-
- Urology Physician
- Holmdel, NJ
- NPI 1477509792
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417996604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5220",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087545220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 HIGHWAY 35",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331031",
"telephone_number": "732-671-5777",
"fax_number": "732-671-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARDON",
"first_name": "NATHANIEL",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MB07585100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00259537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2399317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7579224",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3768497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3598213",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBS",
"identifier": "342024631",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.