Peter B Blank, DO
Individual provider Active NPI Orthopaedic Surgery Physician · Basking Ridge, NJ
NPI 1790737377 · NPPES record last updated Feb 24, 2016
Key facts
- NPI
- 1790737377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 042957 (CT)
- Practice address
- 150 N Finley Ave
Basking Ridge, NJ 07920 - Phone
- (908) 340-4266
- Fax
- (908) 340-4269
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Practice Associates Medical Group
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Morristown Medical Center
- Overlook Medical Center
- Hunterdon Medical Center
- Kessler Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 51 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 38 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060822000080 | NJ | Practitioner - Orthopedic Surgery |
0446207336 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHACAA/Endpoint/GHACAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 042957 | CT | Yes |
| Orthopaedic Surgery Physician | 207X00000X | 25MB08046600 | NJ | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 223598 | NY |
Addresses
Primary practice location
150 N Finley Ave
Basking Ridge, NJ 07920
Mailing address
150 N Finley Ave
Basking Ridge, NJ 07920-1686
Phone (908) 340-4266
Other providers in Basking Ridge, NJ
- Big Luke LLC
- Joseph John Biland
- Mona Weller Birk
- Kristin Troutman Blackledge
- Jacqueline Blank
- Michael Bohrer
- Bonnie Brae
- Bonnie Brae
- Bonnie Brae
- Bonnie Brae
All providers in Basking Ridge, NJ · Orthopaedic Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.