MR. BRIAN A PETERKIN


Address: 33 Overlook Rd, Suite 305, Summit, NJ 07901-3570
Phone: 9086089610

MR. BRIAN A PETERKIN (NPI# 1760652390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760652390
Entity Type Individual
Full Name MR. BRIAN A PETERKIN
Credential PA-C
Practice Address 33 Overlook Rd
Suite 305
Summit
NJ 07901-3570
Practice Telephone 9086089610
Practice Fax Number 9732339688
Mailing Telephone 9086089610
Mailing Fax Number 9732339688
Enumeration Date 2008-03-11
Last Update Date 2008-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
25MP00194900 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 33 OVERLOOK RD
SUITE 305
City SUMMIT
State NJ
Zip Code 07901-3570

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265436174 John Matthew Boozan Ophthalmology 33 Overlook Rd, Ste 407, Summit, NJ 07901-3564 2005-06-08
1427618198 Judith Tracy Nurse Practitioner 33 Overlook Rd, Summit, NJ 07901-3570 2019-06-15
1023514833 Tyler Cody Holsapple Student in an Organized Health Care Education/Training Program 33 Overlook Rd, Suite 103, Summit, NJ 07901-3561 2018-04-02
1497207146 Melanie Novello Smith Dietitian, Registered 33 Overlook Rd, Suite L03, Summit, NJ 07901-3570 2016-10-28
1700336807 Advocare, LLC Pediatrics 33 Overlook Rd, Suite 101, Summit, NJ 07901 2016-10-12
1396119152 Rosemary Smith Nurse Practitioner 33 Overlook Rd, Suite L06, Summit, NJ 07901-3570 2015-11-17
1215323415 Glen Berkowitz Dentist 33 Overlook Rd, Suite 402, Summit, NJ 07901-3570 2015-04-14
1942615638 Jeannine Sopko Registered Nurse 33 Overlook Rd, Summit, NJ 07901-3570 2014-06-22
1831502806 Karen Vanessa Macey-stewart Hospice Care, Community Based 33 Overlook Rd, Suite 311, Summit, NJ 07901-3570 2014-06-08
1467875286 Sharon Schuley Nurse Practitioner 33 Overlook Rd, Suite L-03, Summit, NJ 07901-3570 2014-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790242212 Elizabeth Russo Putnam Occupational Therapist 88 Mountain Ave, Summit, NJ 07901 2019-02-21
1821536152 Nyree Tchalikian Social Worker 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 2017-02-07
1891149050 Trucare Homehealth Services, Inc Health Maintenance Organization 86 Summit Ave Suite Ll200, Summit, NJ 07901 2016-04-14
1043672975 Brendan P. Mccollum, Md LLC Clinic/Center 33 Overlook Rd., Suite 210, Summit, NJ 07901 2016-03-21
1972917086 Family and Sports Medicine Institute of New Jersey LLC Physical Medicine & Rehabilitation 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 2014-06-17
1639589666 Adonis Cheng Physician Assistant Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 2014-04-29
1932542693 Brian Patrick Thornton Jr. Counselor 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 2013-04-12
1285977371 Rehab Universe, LLC Clinic/Center 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 2013-03-27
1568702348 Summit Board of Education Local Education Agency (LEA) 14 Beekman Terrace, Summit, NJ 07901 2013-02-15
1538418082 Dana N Cohen Psychologist 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 2012-08-30
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124149737 Emily O'brien Gray-voorhees Physician Assistant 33 Overlook Rd Ste 201, Summit, NJ 07901-3562 2007-04-02
1285279844 Elizabeth Daniels Physician Assistant 36500 Aurora Dr, Summit, WI 53066-4899 2019-11-07
1316227481 Maria C. Cambria Physician Assistant 99 Beauvoir Ave, Summit, NJ 07901 2011-08-22
1427222710 Tara Aniela Nicoletta-gajano Physician Assistant 99 Beauvoir Ave, Medical Staff Office, Summit, NJ 07901-3533 2008-04-17
1649334319 Bogdan Mark Langner Physician Assistant 99 Beauvoir Ave, Summit, NJ 07901-3533 2006-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467062463 Erica Josephine Lobuglio Physician Assistant 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 2020-08-04
1407471493 Angelice Grasso Physician Assistant 3 Holly Ln, Garfield, NJ 07026-3565 2020-06-15
1063036358 Jaina Marie Lumkong Physician Assistant 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 2020-06-02
1740804384 Allison Sy Tan Physician Assistant 10 Bahr Cir, Verona, NJ 07044-3200 2020-05-29
1114560851 Brian Paul Leonhardt Physician Assistant 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 2019-10-25
1740830413 Atara Hagler Physician Assistant 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 2019-09-16
1568943058 Ekaterina M Rezvin Physician Assistant 80 Woodland Park Dr, Tenafly, NJ 07670-3028 2018-08-23
1225550353 Kristen Cordiello Physician Assistant 1610 Route 88 Ste 203, Brick, NJ 08724-3018 2017-07-11
1710408232 Angela Marie Freedman Physician Assistant 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 2017-07-06
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
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Competitor

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City SUMMIT
Zip Code 07901

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Dataset Information

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.

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