Individual provider Active NPI

Peter V Pickens, M.D.

  • Hematology & Oncology Physician
  • Horsham, PA
National Provider Identifier
1528078698
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD025419E Issued in PA
Practice address
201 Gibraltar Rd Ste 120
Horsham, PA 19044-2331
Phone
(215) 706-2034
Fax
(215) 706-4176
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD025419E PA Primary

Addresses

Primary practice location

201 Gibraltar Rd Ste 120
Horsham, PA 19044-2331

Mailing address

2510 Maryland Rd
Suite 175
Willow Grove, PA 19090-1109
Phone (215) 706-2034

Other practice location 1

1648 Huntingdon Pike Ste 1000
Meadowbrook, PA 19046-8001
Phone (215) 947-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101015000278 PA Practitioner - Hematology/Oncology 2365534641 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Cancer Specialists P.C. Hematology & Oncology CurrentSince Nov 1, 2021 Accepting new patients
Alliance Cancer Specialists Hematology & Oncology CurrentSince Nov 1, 2021 Accepting new patients
Hematology-Oncology Group, P.C. Hematology & Oncology Current Accepting new patients
Greater Phila Cancer & Hematology Specialists PC Hematology & Oncology Current Accepting new patients

Locations

500 Evergreen Dr
Ste G4
Glen Mills, PA 19342
Phone (610) 887-0303

201 Gibraltar Rd
Ste 120
Horsham, PA 19044
Phone (215) 658-7252

1203 Langhorne Newtown Rd
Ste 135
Langhorne, PA 19047
Phone (215) 612-5250

9910 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 658-4669

8815 Germantown Ave
Ste 16
Philadelphia, PA 19118
Phone (215) 242-1159

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1528078698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD",
            "address_2": "SUITE 175",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901109",
            "telephone_number": "215-706-2034",
            "fax_number": "215-706-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GIBRALTAR RD STE 120",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442331",
            "telephone_number": "215-706-2034",
            "fax_number": "215-706-4176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1648 Huntingdon Pike Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Meadowbrook",
            "state": "PA",
            "postal_code": "190468001",
            "country_code": "US",
            "telephone_number": "215-947-5460",
            "fax_number": "215-947-1378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "PETER",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD025419E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.