Individual provider Active NPI

Peter Christopher Tierney, M.D.

  • Family Medicine Physician
  • Plainsboro, NJ
National Provider Identifier
1467524405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04463200 Issued in NJ
Practice address
666 Plainsboro Rd
Suite 1316
Plainsboro, NJ 08536-3030
Phone
(609) 275-8100
Fax
(609) 275-6133
NPI assigned
Nov 14, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04463200 NJ Primary

Addresses

Primary practice location

666 Plainsboro Rd
Suite 1316
Plainsboro, NJ 08536-3030

Mailing address

666 Plainsboro Rd
Suite 1316
Plainsboro, NJ 08536-3030
Phone (609) 275-8100

Other identifiers 1

IdentifierTypeStateIssuer
3861007MedicaidNJ

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
I20120509000361 NJ Practitioner - Family Practice 3375705361 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC Family Medicine Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 1, 2016 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Plainsboro Family Physicians Family Medicine CurrentSince Jan 1, 1989 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

666 Plainsboro Rd
Ste 1316
Plainsboro, NJ 08536
Phone (609) 275-8100

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467524405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD",
            "address_2": "SUITE 1316",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363030",
            "telephone_number": "609-275-8100",
            "fax_number": "609-275-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD",
            "address_2": "SUITE 1316",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363030",
            "telephone_number": "609-275-8100",
            "fax_number": "609-275-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04463200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3861007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.