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
- 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
2290 W County Line Rd
Ste 101
Jackson, NJ 08527
Phone (732) 565-5471
298 Applegarth Rd
Ste F
Monroe Township, NJ 08831
Phone (609) 409-4500
7 Wirt St
Ste 124
New Brunswick, NJ 08901
Phone (732) 565-5487
254 Easton Ave
Ste 1160
New Brunswick, NJ 08901
Phone (732) 339-7718
7 Wirt St
Ste 117
New Brunswick, NJ 08901
Phone (732) 339-7780
78 Easton Ave
New Brunswick, NJ 08901
Phone (732) 545-7075
123 How Ln
Ste PT1
New Brunswick, NJ 08901
Phone (732) 339-7699
7 Wirt St
New Brunswick, NJ 08901
Phone (732) 249-9236
562 Easton Ave FL 2
New Brunswick, NJ 08901
254 Easton Ave
Rm 1160
New Brunswick, NJ 08901
7 Wirt St
Rm 124
New Brunswick, NJ 08901
1950 Route 27
Ste H
North Brunswick, NJ 08902
Phone (732) 422-2300
2204 US Highway 130
Ste C2
North Brunswick, NJ 08902
562 Easton Ave
Ste A
Somerset, NJ 08873
Phone (732) 937-6026
562 Easton Ave
Ste 2
Somerset, NJ 08873
59 Veronica Ave
Ste 204
Somerset, NJ 08873
Phone (732) 249-0977
Practitioners & affiliated clinicians
Practitioners 68
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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.