Individual provider Active NPI

Peter James Pappas, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1801807748
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA05254400 Issued in NJ
Practice address
240 Willoughby Street, Suite 5a
Brooklyn, NY 11201
Phone
(718) 250-6751
Fax
(718) 250-6339
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA05254400 NJ Primary

Addresses

Primary practice location

240 Willoughby Street, Suite 5a
Brooklyn, NY 11201

Mailing address

121 Dekalb Ave
Brooklyn, NY 11201
Phone (718) 250-6751

Other identifiers 1

IdentifierTypeStateIssuer
6612407MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160114002193 NJ Practitioner - Vascular Surgery 9931393741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Essex St
Suite 403
Hackensack, NJ 07601-3247
Phone (855) 830-8346

25 Lindsey Dr
Suite 310
Morristown, NJ 07960-4456
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05254400NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NJ LLC CurrentSince Jan 1, 2016 Accepting new patients
Center for Vein Restoration NJ LLC Vascular Surgery CurrentSince Jan 1, 2016 Accepting new patients
The Brooklyn Hospital Center PastSince Dec 1, 2010 Accepting new patients
Center for Vascular Medicine LLC Past Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

557 Cranbury Rd
Ste 15
East Brunswick, NJ 08816
Phone (732) 698-9300

102 James St
Ste 101
Edison, NJ 08820
Phone (855) 809-9600

303 W Main St
Ste 140
Freehold, NJ 07728

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 646-0044

3840 Quakerbridge Rd
Ste 220
Hamilton, NJ 08619

206 Bergen Ave
Ste 206
Kearny, NJ 07032
Phone (201) 955-2284

456 Chestnut St
Unit 301
Lakewood, NJ 08701

25 Lindsley Dr
Ste 310
Morristown, NJ 07960

8901 Kennedy Blvd
Ste 3E
North Bergen, NJ 07047
Phone (855) 653-8346

1015 New Rd
Ste D
Northfield, NJ 08225

46 Vreeland Dr
Ste 1
Skillman, NJ 08558

2333 Morris Ave
Ste D210
Union, NJ 07083
Phone (908) 258-0220

205 Browertown Rd
Ste 2
Woodland Park, NJ 07424
Phone (240) 830-8346

Interoperability endpoints

  • Direct secure messaging: peterpappas@bhc.allscriptsdirect.net
  • Direct secure messaging: peter.pappasmd.p5@direct.cvr.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1801807748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-6751",
            "fax_number": "718-250-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY STREET, SUITE 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-6751",
            "fax_number": "718-250-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA05254400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6612407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.