Nathaniel a. Peardon, D.O., LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

NATHANIEL A. PEARDON, D.O., LLC

Practice address

2080 Hwy 35
Holmdel, NJ 07733-1031

Phone

(732) 671-5777

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Nathaniel A Peardon, D.O.NPI 1417996604

Title

Owner

Phone

(732) 671-5777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Nathaniel A Peardon, D.O.

  • Urology Physician
  • Holmdel, NJ
  • NPI 1417996604
  Medicare reassignment NPD Authorized official
• Frederick Caluya, LPT

  • Specialist
  • Linden, NJ
  • NPI 1306876479
  NPD (past)
• Marylee Capule, PT

  • Physical Therapist
  • Red Bank, NJ
  • NPI 1578617361
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477509792",
    "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 HWY 35",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331031",
            "telephone_number": "732-671-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL A. PEARDON, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARDON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-671-5777",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynne Mudd, OTR
• Kerry W Murphy, P.T.
• Joeleen Lauren Napoli, APN
• Azeez Fathima Naqvi, M.D.
• Magdy Nasra, M.D.
• National Vision, Inc.
• Christine Esmeralda Nazarian, M.D.
• Nephrology Services Medical Group of New Jersey
• Febronia Nagy Nessim, DC
• Nessuno

• Urology Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.