Organization Active NPI

Peter J. Stewart, MD LLC

  • Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1780846832
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
60260 Issued in NJ
Legal business name
PETER J. STEWART, MD LLC
Practice address
5 Summit Avenue, Suite 105
Hackensack, NJ 17601-8503
Phone
(201) 996-2900
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Peter Stewart
Title
President
Phone
(201) 953-0623

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 60260 NJ Primary
Surgical Critical Care PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0102X 60260 NJ
Trauma Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0127X 60260 NJ

Addresses

Primary practice location

5 Summit Avenue, Suite 105
Hackensack, NJ 17601-8503

Mailing address

5 Summit Avenue, Suite 105
Hackensack, NJ 17601-8503

National Provider Directory

National Provider Directory

Locations

5 Summit Ave
Ste 105
Hackensack, NJ 07601
Phone (201) 996-2900

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1780846832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVENUE, SUITE 105",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "176018503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVENUE, SUITE 105",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "176018503",
            "telephone_number": "201-996-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. STEWART, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-953-0623",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "60260",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "60260",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "60260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.