Individual provider Active NPI

Nathalie Peiris, M.D.

  • Pediatric Anesthesiology Physician
  • Deptford, NJ
National Provider Identifier
1770900888
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
25MA10617000 Issued in NJ
Practice address
1280 Almonesson Rd
Deptford, NJ 08096-5502
Phone
(856) 345-1403
Fax
(856) 805-9370
NPI assigned
Mar 26, 2014
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C1-0023849 DE
Pediatric Anesthesiology Physician 207LP3000X MD471062 PA
Pediatric Anesthesiology Physician 207LP3000X 25MA10617000 NJ Primary

Addresses

Primary practice location

1280 Almonesson Rd
Deptford, NJ 08096-5502

Mailing address

PO Box 191
Rockland, DE 19732-0191

Other practice location 1

22 S Greene St # S11C
Baltimore, MD 21201-1544
Phone (410) 328-1239

Other practice location 2

22 S Greene St # S11C
Baltimore, MD 21201-1544
Phone (410) 328-1239

Other practice location 3

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2000

Other practice location 4

825 Old Lancaster Rd Ste 250
Bryn Mawr, PA 19010-3239
Phone (610) 542-3300

Other practice location 5

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

Other practice location 6

100 Bowman Dr Fl 1
Voorhees, NJ 08043-9612
Phone (856) 247-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 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
I20190926001359 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 3678872611 Reassigns benefits to 4 organizations
I20200925000170 DE Practitioner - Anesthesiology 3678872611 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0023849DEMDAnesthesiology Physician
MD471062PAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nemours New Jersey Physician Practice, P.C. CurrentSince Oct 12, 2020 Accepting new patients
The Nemours Foundation CurrentSince Sep 1, 2020 Accepting new patients
Cooper Anesthesia Associates, PC Anesthesiology CurrentSince Aug 19, 2019 Accepting new patients
The Nemours Foundation CurrentSince Sep 1, 2020 Accepting new patients
CHC Pain Management Center, PA CurrentSince Aug 19, 2019 Accepting new patients
Virtua Medical Group, PA Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2023 Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770

100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

825 Old Lancaster Rd
Ste 250
Bryn Mawr, PA 19010
Phone (610) 542-3300

Interoperability endpoints

  • Direct secure messaging: npeiris261444@directvirtua.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1770900888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 ALMONESSON RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965502",
            "telephone_number": "856-345-1403",
            "fax_number": "856-805-9370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St # S11C",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-1239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St # S11C",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-1239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-342-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Old Lancaster Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103239",
            "country_code": "US",
            "telephone_number": "610-542-3300",
            "fax_number": "610-542-3284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIRIS",
        "first_name": "NATHALIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C1-0023849",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD471062",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NJ",
            "license": "25MA10617000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

Verify at the official NPI Registry.