Peter Michael Wistreich

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

150164 Issued in NY

Practice address

267 S Boulevard
Nyack, NY 10960-4114

Phone

(914) 217-6450

Fax

(845) 358-3686

NPI assigned

Mar 2, 2012

Last updated

Mar 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Urgent Care Plus PCGroup PAC ID 4385624162, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hackensack Meridian Urgent Care Plus PC

  • Urgent Care Clinic/Center
  • Hoboken, NJ
  • NPI 1396858874

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1649544081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 S BOULEVARD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604114",
            "telephone_number": "914-217-6450",
            "fax_number": "845-358-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S BOULEVARD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604114",
            "telephone_number": "914-217-6450",
            "fax_number": "845-358-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTREICH",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "150164",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "150164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "150164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Renee Williams, NURSE PRACTITIONER
• Leona M Williams
• Susanna Kitson Willingham, MPS,ATR-BC, NCPSYA
• Beth Millstein Wish, PH.D.
• Ron I Wish, M.D.
• Sally Schaum Witte, PH.D.
• Kristina Elizabeth Wodicka, D.C.
• Amy Lynne Wohl, LMSW
• Amos Wolff, LMFT
• Elaina Marie Wood, LMSW

• Internal Medicine Physician in Nyack, NY
• Providers in Nyack, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.