Individual provider Active NPI

Ann Peterka, D.O.

  • Internal Medicine Physician
  • Branchburg, NJ
National Provider Identifier
1972628766
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB52351 Issued in NJ
Practice address
1080 Route 202 S
Branchburg, NJ 08876-3733
Phone
(908) 243-2257
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB52351 NJ Primary

Addresses

Primary practice location

1080 Route 202 S
Branchburg, NJ 08876-3733

Mailing address

34 N Highcrest Dr
Hawthorne, NJ 07506-3023
Phone (973) 666-0988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920000231 NJ Practitioner - Internal Medicine 6507263563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB52351NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Total Health Center CurrentSince Jun 15, 2021 Accepting new patients

Locations

1129 Broad St
Bloomfield, NJ 07003
Phone (973) 338-3620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1972628766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N HIGHCREST DR",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063023",
            "telephone_number": "973-666-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 ROUTE 202 S",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763733",
            "telephone_number": "908-243-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERKA",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB52351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.