Individual provider Active NPI

Peter Gegerson, MD

  • Internal Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1659472801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22747 Issued in FL
Practice address
1500 E Hillsboro Blvd
Suite 201
Deerfield Beach, FL 33441-4355
Phone
(954) 421-8666
Fax
(954) 421-8667
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22747 FL Primary

Addresses

Primary practice location

1500 E Hillsboro Blvd
Suite 201
Deerfield Beach, FL 33441-4355

Mailing address

1500 E Hillsboro Blvd
Suite 201
Deerfield Beach, FL 33441-4355
Phone (954) 421-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22747FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unimed Health Care LLC PastSince Dec 14, 2021 Accepting new patients

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659472801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HILLSBORO BLVD",
            "address_2": "SUITE 201",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414355",
            "telephone_number": "954-421-8666",
            "fax_number": "954-421-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HILLSBORO BLVD",
            "address_2": "SUITE 201",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414355",
            "telephone_number": "954-421-8666",
            "fax_number": "954-421-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGERSON",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "22747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.