Active NPI
Saint Peter's Specialty Physicians, P.C.
- Gastroenterology Physician
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SAINT PETER'S SPECIALTY PHYSICIANS, P.C.
- Practice address
- 500 River Ave Ste 110
Lakewood, NJ 08701-4738 - Phone
- (732) 339-7880
- NPI assigned
- Sep 19, 2014
- Last updated
- May 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Knowles
- Title
- Director
- Phone
- (732) 565-5453
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Audiologist | 231H00000X |
Addresses
Primary practice location
500 River Ave Ste 110
Lakewood, NJ 08701-4738
Mailing address
254 Easton Avenue
Attn: Managed Care Department
New Brunswick, NJ 08901-1766
Phone (732) 565-5453
Other practice location 1
562 Easton Ave Ste A
Somerset, NJ 08873-1900
Phone (732) 937-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2304944 | Saint Peter's Specialty Physicians | Certificate of waiver | May 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
192 Summerhill Rd
Ste A
East Brunswick, NJ 08816
303 W Main St
Ste 300LL
Freehold, NJ 07728
Phone (732) 339-7972
122 Clinton St
Fl 2
Hoboken, NJ 07030
Phone (201) 479-5206
500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360
298 Applegarth Rd
Ste F
Monroe, NJ 08831
Phone (609) 409-4500
123 How Ln
Ste PT1
New Brunswick, NJ 08901
Phone (732) 339-7699
254 Easton Ave
Rm 1160
New Brunswick, NJ 08901
254 Easton Ave
Ste 1160
New Brunswick, NJ 08901
Phone (732) 339-7718
562 Easton Ave FL 2
New Brunswick, NJ 08901
7 Wirt St
New Brunswick, NJ 08901
Phone (732) 249-9236
7 Wirt St
Rm 124
New Brunswick, NJ 08901
7 Wirt St
Ste 123
New Brunswick, NJ 08901
Phone (732) 339-7910
7 Wirt St
Ste 124
New Brunswick, NJ 08901
Phone (732) 565-5487
7 Wirt St
Ste 125
New Brunswick, NJ 08901
Phone (732) 339-7045
78 Easton Ave
New Brunswick, NJ 08901
Phone (732) 545-7075
2204 US Highway 130
Ste C2
North Brunswick, NJ 08902
562 Easton Ave
Ste A
Somerset, NJ 08873
Phone (732) 937-6026
Practitioners & affiliated clinicians
Practitioners 68
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- New Brunswick, NJ
- NPI 1487602033
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1336307529
-
- Vascular Surgery Physician
- Highland Park, NJ
- NPI 1144295486
-
- Nurse Practitioner
- New Brunswick, NJ
- NPI 1447874623
-
- Surgery Physician
- Monroe Township, NJ
- NPI 1942393012
-
- Pediatric Allergy/Immunology Physician
- Newark, NJ
- NPI 1225177090
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1942341458
-
- Pediatrics Physician
- New Brunswick, NJ
- NPI 1962768960
-
- Internal Medicine Physician
- Lakewood, NJ
- NPI 1972700037
-
- Pediatrics Physician
- Hoboken, NJ
- NPI 1245329150
-
- Vascular Surgery Physician
- Highland Park, NJ
- NPI 1265407514
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1578991840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1861894982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 EASTON AVENUE",
"address_2": "ATTN: MANAGED CARE DEPARTMENT",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-565-5453",
"fax_number": "732-249-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RIVER AVE STE 110",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014738",
"telephone_number": "732-339-7880"
}
],
"practiceLocations": [
{
"address_1": "562 Easton Ave Ste A",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "NJ",
"postal_code": "088731900",
"country_code": "US",
"telephone_number": "732-937-6026",
"fax_number": "732-846-8911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAINT PETER'S SPECIALTY PHYSICIANS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-19",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "KNOWLES",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-565-5453"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.