Active NPI
Peter Svider, MD
- Otolaryngology Physician
- Emerson, NJ
National Provider Identifier
1821436304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MA10342900
- Practice address
- 466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368 - Phone
- (201) 967-8221
- NPI assigned
- Jun 6, 2013
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA10342900 | NJ | Primary |
Addresses
Primary practice location
466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368
Mailing address
466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368
Phone (201) 967-8221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10342900 | NJ | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1821436304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 OLD HOOK RD STE 1",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301368",
"telephone_number": "201-967-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 OLD HOOK RD STE 1",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301368",
"telephone_number": "201-967-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVIDER",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA10342900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emerson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.