| Dr Peter L Smith, MD | |
|
29 E 29th St, Vascular Center, Bayonne, NJ 07002-4654 | |
| (201) 858-4590 | |
| (201) 243-4229 |
| Full Name | Dr Peter L Smith |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 39 Years |
| Location | 29 E 29th St, Bayonne, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861497224 | NPI | - | NPPES |
| 8010803 | Medicaid | NJ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fordham Medical Of New York Llc | 4284972621 | 22 |
| Usa Vein Clinics Of New Jersey Llc | 1355585191 | 9 |
| Usa Vascular Center Of New Jersey Llc | 1759709371 | 4 |
| Bushwick Medical Of New York Llc | 5092068262 | 21 |
| Saint Joseph Regional Medical Center Inc | 8325950843 | 138 |
| Bushwick Professional Medical Services Of New York Llc | 0648516617 | 5 |
| Entity Name | Usa Medical Of Bensonhurst Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780028597 PECOS PAC ID: 3173746799 Enrollment ID: O20140528001303 |
| Entity Name | New York Professional Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639518848 PECOS PAC ID: 9537483565 Enrollment ID: O20150123000194 |
| Entity Name | Pelham Pkwy Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285156067 PECOS PAC ID: 4082976386 Enrollment ID: O20180327000712 |
| Entity Name | Mott Haven Professional Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922525781 PECOS PAC ID: 5193088946 Enrollment ID: O20180410001065 |
| Entity Name | St Nicholas Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033631064 PECOS PAC ID: 7618231457 Enrollment ID: O20180503001031 |
| Entity Name | Pelham Pkwy Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063926962 PECOS PAC ID: 9335404557 Enrollment ID: O20180517001134 |
| Entity Name | Bushwick Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720565922 PECOS PAC ID: 5092068262 Enrollment ID: O20181106000485 |
| Entity Name | Norwood Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528547312 PECOS PAC ID: 4183977366 Enrollment ID: O20181106000914 |
| Entity Name | Bushwick Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003393299 PECOS PAC ID: 0648516617 Enrollment ID: O20190111001240 |
| Entity Name | Fordham Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205332905 PECOS PAC ID: 4284972621 Enrollment ID: O20190211002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter L Smith, MD Po Box 17288, Jersey City, NJ 07307-7288 Ph: (201) 858-4590 | Dr Peter L Smith, MD 29 E 29th St, Vascular Center, Bayonne, NJ 07002-4654 Ph: (201) 858-4590 |
Dr. Mark Hebel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 29th Street At Avenue E, Bayonne, NJ 07002 Phone: 201-858-5461 Fax: 201-243-4229 | |
Dr. Priti Chandiwala-mody, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 29 E 29th St, Department Of Radiology, Bayonne, NJ 07002 Phone: 201-858-7341 | |
Dr. Peter H Soloway, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 657-659 Broadway, Bayonne, NJ 07002 Phone: 201-437-3007 Fax: 201-437-1418 | |
Dr. Luciano Castillo Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 29th Street At Avenue E, Bayonne, NJ 07002 Phone: 201-858-5461 Fax: 201-243-4229 | |
Dr. Marina Perlov, MD Radiology Medicare: Medicare Enrolled Practice Location: 657 659 Broadway, Bayonne, NJ 07002 Phone: 201-437-3007 Fax: 201-437-4070 | |
Jiyong Ahn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 716 Broadway Apt 1, Bayonne, NJ 07002 Phone: 646-522-2104 |