Peter Hetzler, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA05342300 Issued in NJ

Practice address

200 White Rd
Suite 211
Little Silver, NJ 07739-1150

Phone

(732) 219-0447

Fax

(732) 219-6563

NPI assigned

Apr 14, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• HMH Hospitals Corporation

  • Psychiatric Hospital Unit
  • Hackensack, NJ
  • NPI 1932200623

  Corporate Director

  CMS ownership

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.

• Peter T Hetzler MD Facs LLC

  • Specialist
  • Little Silver, NJ
  • NPI 1053757914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730143751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 211",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-219-0447",
            "fax_number": "732-219-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 211",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-219-0447",
            "fax_number": "732-219-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZLER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05342300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Connections, LLC
• Hematology-Oncology of Central New Jersey PA
• Herspace Medspa Corp
• Herspace Womens Health LLC
• Holly Ann Heston, LCSW
• Tzvi Hilsenrath, LCSW
• Holly Heston, LLC
• Alan F. Holsey Jr., DMD
• Ian C Horkheimer, MD
• Tara Horton, DPT

• Plastic Surgery Physician in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Plastic Surgery 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.