THOMAS R PETERSON MD PC (NPI# 1164522629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164522629 |
| Entity Type | Organization |
| Organization Name | THOMAS R PETERSON MD PC |
| Practice Address |
140 Prospect Ave Suite 18 Hackensack NJ 07600 |
| Practice Telephone | 2015250500 |
| Practice Fax Number | 2015251171 |
| Mailing Telephone | 2015250500 |
| Mailing Fax Number | 2015251171 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS R PETERSON (PRESIDENT) |
| Authorized Official Telephone | 2015250500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MA5194 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0154105 | 05 |
| Street Address |
140 PROSPECT AVE SUITE 18 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023090537 | William P Brotherton | Anesthesiology | 140 Prospect Ave, Suite 8, Hackensack, NJ 07601-2255 | 2005-11-18 |
| 1285088310 | Voltamac Ventures International Corp | Home Health | 140 Prospect Ave, Unit 4n, Hackensack, NJ 07601-2255 | 2016-04-14 |
| 1275969644 | Hyong R Kim | Acupuncturist | 140 Prospect Ave, 2nd Flr Suite 16, Hackensack, NJ 07601 | 2013-09-17 |
| 1184930851 | Advanced Womens Healthcare Pa | Obstetrics & Gynecology | 140 Prospect Ave, Suite 15, Hackensack, NJ 07601-2255 | 2010-08-19 |
| 1740414622 | Jeannie Rhee | Anesthesiology | 140 Prospect Ave, Suite 8, Hackensack, NJ 07601-2255 | 2009-05-07 |
| 1417112731 | Ulas Bozdogan | Obstetrics & Gynecology | 140 Prospect Ave, Suite 15, Hackensack, NJ 07601-2255 | 2008-07-25 |
| 1215196753 | Robert S Cohen Md Pa | Specialist | 140 Prospect Ave, Suite 3, Hackensack, NJ 07601-2255 | 2008-06-09 |
| 1376729046 | Mark James Flood | Psychiatry & Neurology | 140 Prospect Ave, Suite 4, Hackensack, NJ 07601-2255 | 2008-01-12 |
| 1588858245 | Nadine Heusner, Lcsw | Social Worker | 140 Prospect Ave, Suite 20, Hackensack, NJ 07601-2255 | 2007-09-05 |
| 1801088562 | Glaucoma Institute of Northern New Jersey LLC | Specialist | 140 Prospect Ave, Suite 12, Hackensack, NJ 07601-2255 | 2007-08-15 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306813621 | George J Kaptain | Neurological Surgery | 20 Prospect Ave Ste 907, Hackensack, NJ 07601-1989 | 2006-03-06 |
| 1053737924 | The Center for Advanced Neurosurgery, LLC | Neurological Surgery | 20 Prospect Ave, Suite 811, Hackensack, NJ 07601-1997 | 2014-03-14 |
| 1366562530 | Advanced Neurosurgery Associates PC | Neurological Surgery | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2007-03-30 |
| 1295800043 | Thomas R Peterson | Neurological Surgery | 140 Prospect Ave, Suite 18, Hackensack, NJ 07601 | 2006-11-21 |
| 1407823727 | Daniel Walzman | Neurological Surgery | 20 Prospect Ave Ste 907, Hackensack, NJ 07601-1989 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1063968360 | Executive Spine Surgery | Neurological Surgery | 657 Willow Grove St Ste 402, Hackettstown, NJ 07840 | 2016-08-28 |
| 1508224064 | Geoffrey Appelboom | Neurological Surgery | 703 Main St Ste A2404, Paterson, NJ 07503-2621 | 2016-01-29 |
| 1831568583 | Nj Neurosurgery, PC | Neurological Surgery | 400 Frank W Burr Blvd Ste 55, Atrium At Glenpoint, Ste 55, Teaneck, NJ 07666-6810 | 2015-09-23 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1861893588 | Abelardo Dario Inoa | Neurological Surgery | 6 Normandy Pkwy, Morristown, NJ 07960-5716 | 2014-09-12 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1912337312 | Functional Healthcare PC | Neurological Surgery | 234 Boundary Rd Unit 107, Marlboro, NJ 07746-1479 | 2013-11-21 |
| 1962849331 | David Weaver | Neurological Surgery | 725 Old Raritan Rd, Edison, NJ 08820-1021 | 2013-05-25 |
| 1831439272 | Vipin Kumar Gupta, Md Pa | Neurological Surgery | 2848 S Delsea Dr Ste 2b, Vineland, NJ 08360-7042 | 2013-02-21 |
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| City | HACKENSACK |
| Zip Code | 07600 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.