Organization Active NPI

Peter M Duch MD LLC

  • Cardiovascular Disease Physician
  • Metuchen, NJ
National Provider Identifier
1447401252
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05938400 Issued in NJ
Legal business name
PETER M DUCH MD LLC
Practice address
167 Main St
Suite 1B
Metuchen, NJ 08840-2771
Phone
(732) 662-9845
Fax
(732) 662-9848
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Mrs. Roxana Peeke
Title
Billing Manager
Phone
(201) 522-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MA05938400 NJ Primary

Addresses

Primary practice location

167 Main St
Suite 1B
Metuchen, NJ 08840-2771

Mailing address

167 Main St
Suite 1B
Metuchen, NJ 08840-2771
Phone (732) 662-9845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090109000330 NJ Part B Supplier - Clinic/Group Practice 9032272539 Receives reassigned benefits from 1 practitioner
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

167 Main St
Ste 1B
Metuchen, NJ 08840
Phone (732) 287-2888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1447401252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MAIN ST",
            "address_2": "SUITE 1B",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402771",
            "telephone_number": "732-662-9845",
            "fax_number": "732-662-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MAIN ST",
            "address_2": "SUITE 1B",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402771",
            "telephone_number": "732-662-9845",
            "fax_number": "732-662-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M DUCH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "PEEKE",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-522-3205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05938400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.