Active NPI
Peter James Pappas, M.D.
- Vascular Surgery Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA05254400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6612407 | Medicaid | NJ |
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
Enrollment records 1
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05254400 | NJ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Vein Restoration NJ LLC | Current | Accepting new patients | |
| Center for Vein Restoration NJ LLC | Vascular Surgery | Current | Accepting new patients |
| The Brooklyn Hospital Center | Past | 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
- peterpappas@bhc.allscriptsdirect.net
- 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.
-
- Vascular Surgery Physician
- Hackensack, NJ
- NPI 1710312699
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Morristown, NJ
- NPI 1114888179
-
- Clinic Pharmacy
- Brooklyn, NY
- NPI 1093431850
-
- Specialist
- Greenbelt, MD
- NPI 1386935781
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.