Individual provider Active NPI

Pete Perdikos

  • Physician Assistant
  • Newton, NJ
National Provider Identifier
1831987932
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00942900 Issued in NJ
Practice address
123 Overlook Rd
Newton, NJ 07860-9773
Phone
(201) 683-1816
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00942900 NJ Primary

Addresses

Primary practice location

123 Overlook Rd
Newton, NJ 07860-9773

Mailing address

123 Overlook Rd
Newton, NJ 07860-9773
Phone (201) 683-1816

Other practice location 1

238 Spring St
Newton, NJ 07860-2115
Phone (973) 862-6650

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821000574 NJ Practitioner - Physician Assistant 1557861986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Zufall Health Center, IncGroup PAC ID 2365448461, 45 clinicians

Practice addresses (Care Compare)

238 Spring St
Newton, NJ 07860-2115
Phone (973) 862-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2025 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Zufall Health Center,Inc Past Accepting new patients
Zufall Health Center, Inc Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

Organizations & group practices 5

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1831987932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 OVERLOOK RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609773",
            "telephone_number": "201-683-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 OVERLOOK RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609773",
            "telephone_number": "201-683-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Spring St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078602115",
            "country_code": "US",
            "telephone_number": "973-862-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDIKOS",
        "first_name": "PETE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00942900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.