Organization Active NPI

Saint Peter's Specialty Physicians, P.C.

  • Gastroenterology Physician
  • Lakewood, NJ
National Provider Identifier
1861894982
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on May 28, 2025

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150204001582 NJ Part B Supplier - Clinic/Group Practice 8426373952 Receives reassigned benefits from 62 practitioners
Practice locations: Hoboken, NJ; South Plainfield, NJ; Somerset, NJ; New Brunswick, NJ; Monroe, NJ; Lakewood, NJ; Jersey City, NJ; Freehold, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2304944Saint Peter's Specialty Physicians500 River Ave, Lakewood, NJ 08701Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

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.

View all 68

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.

Verify at the official NPI Registry.