Peter G Ilowite, D.O.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

25MB05670100 Issued in NJ

Practice address

275 Market Ave
Saddle Brook, NJ 07663-6094

Phone

(201) 843-7177

Fax

(201) 556-0970

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Dermatology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Networks

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

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699792382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MARKET AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636094",
            "telephone_number": "201-843-7177",
            "fax_number": "201-556-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARKET AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636094",
            "telephone_number": "201-843-7177",
            "fax_number": "201-556-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOWITE",
        "first_name": "PETER",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MB05670100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K0076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2200223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BS825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "462303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Hoehlein, DPT
• Danhong Hong
• Devon Hordes, CCC-SLP
• HRH Saddle Brook Surgery Center LLC
• Hudson Ortho Group
• Interim Healthcare of Saddle Brook, Inc.
• Eun Jeong Jang
• Allison Mary Jaworski
• JCJ Physical Therapy, LLC
• Christi Jin, PH.D., O.M.D., L.AC.

• Procedural Dermatology Physician in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Procedural Dermatology Physician in New Jersey

• 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.
• 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.