Individual provider Active NPI

Peter S. Chan, M.D.

  • Specialist
  • Bedminster, NJ
National Provider Identifier
1578549986
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07248800 Issued in NJ
Practice address
1590 Route 206 North Bound
Bedminster, NJ 07921
Phone
(908) 253-0800
Fax
(908) 253-0838
NPI assigned
Dec 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07248800 NJ Primary

Addresses

Primary practice location

1590 Route 206 North Bound
Bedminster, NJ 07921

Mailing address

PO Box 116
Cliffside PK, NJ 07010-0116
Phone (800) 624-0792

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
I20040721001560 NJ Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8820078728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Georgetown University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

605 Broad Ave
Ridgefield, NJ 07657-1614

PO Box
Suite 116
Cliffside Park, NJ 07010-0116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07248800NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Specialists, LLC Specialist CurrentSince May 11, 2004 Accepting new patients
Arthroscopic Surgery & Sports Medicine Center, PA Past Accepting new patients
Tuckahoe Orthopaedic Associates, LTD Past Accepting new patients
Hand Surgery & Rehabilitation of North Jersey P.C. Past Accepting new patients

Locations

2345 Lamington Rd
Ste 107
Bedminster, NJ 07921
Phone (908) 396-6272

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

111 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (908) 722-1122

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_HSS

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578549986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "CLIFFSIDE PK",
            "state": "NJ",
            "postal_code": "070100116",
            "telephone_number": "800-624-0792",
            "fax_number": "201-943-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 ROUTE 206 NORTH BOUND",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-253-0800",
            "fax_number": "908-253-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PETER",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07248800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

Verify at the official NPI Registry.