Organization Active NPI

Peter Caride MD LLC

  • Gastroenterology Physician
  • North Bergen, NJ
National Provider Identifier
1932219573
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA06275200 Issued in NJ
Legal business name
PETER CARIDE MD LLC
Practice address
9226 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5312
Phone
(201) 869-9500
Fax
(201) 869-9501
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Peter Caride, MDNPI 1689784381
Title
Owner
Phone
(201) 869-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 25MA06275200 NJ Primary

Addresses

Primary practice location

9226 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5312

Mailing address

9226 Kennedy Blvd
Suite a
North Bergen, NJ 07047-5312
Phone (201) 869-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000902 NJ Part B Supplier - Clinic/Group Practice 2163514712 Receives reassigned benefits from 6 practitioners
Practice locations: Hoboken, NJ; North Bergen, NJ; Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

9226 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 295-0900

9226 Kennedy Blvd
Ste A
North Bergen, NJ 07047
Phone (201) 869-9500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1932219573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BLVD",
            "address_2": "SUITE A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312",
            "telephone_number": "201-869-9500",
            "fax_number": "201-869-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BLVD",
            "address_2": "SUITE A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475312",
            "telephone_number": "201-869-9500",
            "fax_number": "201-869-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER CARIDE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "CARIDE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-869-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA06275200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.