Individual provider Active NPI

Peter A. Plumeri, D.O., D.A.C.P.

  • Gastroenterology Physician
  • Sewell, NJ
National Provider Identifier
1447258777
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25 MB03113000 Issued in NJ
Practice address
445 Hurffville Crosskeys Rd
Ste B-10
Sewell, NJ 08080-2337
Phone
(856) 218-0200
Fax
(856) 218-0099
NPI assigned
Jul 11, 2005
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25 MB03113000 NJ Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd
Ste B-10
Sewell, NJ 08080-2337

Mailing address

PO Box 8170
Turnersville, NJ 08012-8170
Phone (856) 218-0463

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
I20101209000934 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 1456548957 Practice locations: Sewell, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25 MB03113000NJMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1447258777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8170",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080128170",
            "telephone_number": "856-218-0463",
            "fax_number": "856-218-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD",
            "address_2": "STE B-10",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-218-0200",
            "fax_number": "856-218-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMERI",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "D.O., D.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25 MB03113000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.