Peter J Shupper (NPI# 1578902284, PAC ID# 3678821824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1578902284 |
| PAC ID by PECOS | 3678821824 |
| Professional Enrollment ID | I20180803000236 |
| Full Name | Peter J Shupper |
| Organization Legal Name | PAIN ASSOCIATES OF BERGEN COUNTY LLC |
| Address |
294 -298 State St Suite 2 Hackensack NJ 07601-5544 |
| Phone Number | 2015250002 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 0345502670 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310008 | HOLY NAME MEDICAL CENTER |
| 310034 | RIVERVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 294 -298 State St, Suite 2, Hackensack, NJ 07601-5544 | 2015250002 | PAIN ASSOCIATES OF BERGEN COUNTY LLC |
| 80 Oak Hill Rd, Red Bank, NJ 07701-5727 | 7327412313109 | ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, PA |
| Organization Legal Name | PAIN ASSOCIATES OF BERGEN COUNTY LLC |
| Physicians | 1 |
| Street Address |
294 -298 STATE ST SUITE 2 |
| City | HACKENSACK |
| State | NJ |
| Zip | 07601-5544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Kimberly Rozzelle | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| Robert Mateo | Nurse Practitioner | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 | |
| Geraldine Charles | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| David J Bikoff | Plastic and Reconstructive Surgery | 146 Rt 17, 3rd Floor, Hackensack, NJ 07601-1038 | |
| John J Vaccaro | Plastic and Reconstructive Surgery | 146 N State Rt, Suite 3, Hackensack, NJ 07601-1038 | |
| Arie Rosen | Otolaryngology | 2 S Summit Ave, Hackensack, NJ 07601-1117 | |
| Jeffrey Schlesinger | Chiropractic | 5 Summit Ave, Suite 101, Hackensack, NJ 07601-1214 | |
| Rey I Pella | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Julie Y An | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Joseph C Yu | Cardiovascular Disease (cardiology) | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Find all physicians in zip 07601 | |||
| City | HACKENSACK |
| Zip Code | 07601 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | HACKENSACK + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Peter J Shupper.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.