Individual provider Active NPI

Peter K Newman, PA-C

  • Surgical Physician Assistant
  • Salem, MA
National Provider Identifier
1932444205
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0006808 Issued in MD
Practice address
81 Highland Ave
Salem, MA 01970-2714
Phone
(978) 741-1200
NPI assigned
Nov 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physical Therapist 225100000X 19552 MA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X C0006808 MD Primary

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2714

Mailing address

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Other practice location 1

5755 Cedar Ln
Columbia, MD 21044-2912
Phone (443) 546-1550

Other practice location 2

900 23rd Street NW
Washington, DC 20037
Phone (202) 715-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240507003456 MA Practitioner - Physician Assistant 9638448194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

Salem Hospital Medical Staff Office
81 Highland Ave Wheelock 6
Salem, MA 01970-2714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19552MAMDPhysical Therapist
C0006808MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. Multi-Specialty Current Accepting new patients
Johns Hopkins University Multi-Specialty CurrentSince Dec 1, 2018 Accepting new patients
Johns Hopkins University Multi-Specialty CurrentSince Dec 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

4940 Eastern Ave
Baltimore, MD 21224

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

10700 Charter Dr
Ste 205
Columbia, MD 21044
Phone (443) 546-1575

Interoperability endpoints

  • Direct secure messaging: newman.peter.nsmc@direct.partners.masshiway.net

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1932444205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-741-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-741-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442912",
            "country_code": "US",
            "telephone_number": "443-546-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 23rd Street NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20037",
            "country_code": "US",
            "telephone_number": "202-715-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "PETER",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19552",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0006808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.