Individual provider Active NPI

Peter Albert Woods Jr., DO

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1649321381
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
212481 Issued in NY
Practice address
339 Hicks St
Brooklyn, NY 11201-5509
Phone
(718) 780-4764
Fax
(718) 780-1313
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 212481 NY Primary

Addresses

Primary practice location

339 Hicks St
Brooklyn, NY 11201-5509

Mailing address

160 Water St
23Rd Floor
New York, NY 10038-4922
Phone (212) 256-3539

Other identifiers 1

IdentifierTypeStateIssuer
01906312MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040405001720 NY Practitioner - Emergency Medicine 5496748592 Reassigns benefits to 1 organization
I20140728002551 NJ Practitioner - Emergency Medicine 5496748592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

30 7TH Ave
New York, NY 10011-6608
Phone (212) 434-4137

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212481NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Jul 1, 2021 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Long Island College Hospital Emergency Medicine Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: twoods27860@northwell.direct-ci.com
  • Direct secure messaging: peter.woods@direct.christhospital.md

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1649321381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "23RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3539",
            "fax_number": "212-256-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-4764",
            "fax_number": "718-780-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "PETER",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "212481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01906312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.