| Saint Peter's Specialty Physicians, P.c. | |
|
500 River Ave Ste 110 Lakewood NJ 08701-4738 | |
| (732) 339-7880 | |
| Not Available |
| Full Name | Saint Peter's Specialty Physicians, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 River Ave Ste 110, Lakewood, New Jersey |
| Authorized Official Name and Position | Stacey Knowles (DIRECTOR) |
| Authorized Official Contact | 7325655453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Peter's Specialty Physicians, P.c. 254 Easton Avenue Attn: Managed Care Department New Brunswick NJ 08901-1766 Ph: (732) 565-5453 | Saint Peter's Specialty Physicians, P.c. 500 River Ave Ste 110 Lakewood NJ 08701-4738 Ph: (732) 339-7880 |
| NPI Number | 1861894982 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 05/28/2025 |
| Medicare PECOS PAC ID | 8426373952 |
|---|---|
| Medicare Enrollment ID | O20150204001582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861894982 | NPI | - | NPPES |
| Provider Name | Weizhen Xu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881787604 PECOS PAC ID: 1759278583 Enrollment ID: I20040304000409 |
| Provider Name | John Gallucci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245295153 PECOS PAC ID: 5890686778 Enrollment ID: I20040322000574 |
| Provider Name | Gregg Giannina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285704213 PECOS PAC ID: 8628064441 Enrollment ID: I20040426000233 |
| Provider Name | Carlos W Benito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487610952 PECOS PAC ID: 0345237558 Enrollment ID: I20040429000302 |
| Provider Name | Anup Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245225242 PECOS PAC ID: 2365426616 Enrollment ID: I20040615001239 |
| Provider Name | Carlos R Lastra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144249137 PECOS PAC ID: 3870537160 Enrollment ID: I20050620000521 |
| Provider Name | Debra R Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619966850 PECOS PAC ID: 0042246316 Enrollment ID: I20050711000009 |
| Provider Name | Charles D Franco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942393012 PECOS PAC ID: 6800826025 Enrollment ID: I20050817000857 |
| Provider Name | Susan R Brill-goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487602033 PECOS PAC ID: 1153332655 Enrollment ID: I20060517000075 |
| Provider Name | Victoria Surgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073603007 PECOS PAC ID: 5193725786 Enrollment ID: I20070104000354 |
| Provider Name | Archana Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902139561 PECOS PAC ID: 0345382750 Enrollment ID: I20100123000123 |
| Provider Name | Irving H Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942341458 PECOS PAC ID: 4880875558 Enrollment ID: I20110301000467 |
| Provider Name | Matthew Albert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124032727 PECOS PAC ID: 7416977368 Enrollment ID: I20110303000941 |
| Provider Name | Steven I Curtiss |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144295486 PECOS PAC ID: 1951585116 Enrollment ID: I20110412000993 |
| Provider Name | Harumi Jyonouchi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1225177090 PECOS PAC ID: 0244416238 Enrollment ID: I20110509000189 |
| Provider Name | Nibal A Zaghloul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447251764 PECOS PAC ID: 6901812247 Enrollment ID: I20110523000331 |
| Provider Name | Scott F Rosen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265407514 PECOS PAC ID: 2062557242 Enrollment ID: I20110627000440 |
| Provider Name | Diana N Traquina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669533766 PECOS PAC ID: 3375721665 Enrollment ID: I20110712000040 |
| Provider Name | Meredith M Hunter Elischer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841586435 PECOS PAC ID: 5294993705 Enrollment ID: I20120229000591 |
| Provider Name | Ashwin R Jadhav |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457675159 PECOS PAC ID: 4284822073 Enrollment ID: I20121204000174 |
| Provider Name | Yuliya L Nudelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972700037 PECOS PAC ID: 0941455109 Enrollment ID: I20130220000058 |
| Provider Name | Revital D Faro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275892812 PECOS PAC ID: 8527281732 Enrollment ID: I20140515001067 |
| Provider Name | Arkady Broder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336307529 PECOS PAC ID: 9739304841 Enrollment ID: I20140703001523 |
| Provider Name | Yi Horng Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285658419 PECOS PAC ID: 0941207690 Enrollment ID: I20140923000690 |
| Provider Name | Kianoush Sheykholeslami |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841480274 PECOS PAC ID: 8628123080 Enrollment ID: I20141106001683 |
| Provider Name | Janelle Foroutan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215222534 PECOS PAC ID: 9739347071 Enrollment ID: I20141211001171 |
| Provider Name | Rupinder K Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649484791 PECOS PAC ID: 2668641028 Enrollment ID: I20150728003709 |
| Provider Name | Steven C San Filippo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578991840 PECOS PAC ID: 8022309707 Enrollment ID: I20160628001196 |
| Provider Name | Danielle A Melican |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861864159 PECOS PAC ID: 3476832742 Enrollment ID: I20161110000242 |
| Provider Name | Kristy Palomares |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346684701 PECOS PAC ID: 7810296720 Enrollment ID: I20170330001844 |
| Provider Name | Jennifer Gobencion |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760849426 PECOS PAC ID: 0244508927 Enrollment ID: I20170621002493 |
| Provider Name | Kristin M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801056643 PECOS PAC ID: 1254607989 Enrollment ID: I20171025001874 |
| Provider Name | Amie Kawashima |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003137837 PECOS PAC ID: 2567728652 Enrollment ID: I20171106001844 |
| Provider Name | Alexandra Kondratyeva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659682003 PECOS PAC ID: 5597021550 Enrollment ID: I20171107001686 |
| Provider Name | Sandra Hanna |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578042628 PECOS PAC ID: 5890048409 Enrollment ID: I20181030000183 |
| Provider Name | Courtney E Resciniti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003210865 PECOS PAC ID: 9032457585 Enrollment ID: I20190208001256 |
| Provider Name | Katharine Buckley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184080673 PECOS PAC ID: 4183964901 Enrollment ID: I20190314000209 |
| Provider Name | Samuel J Knee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962768960 PECOS PAC ID: 6709178205 Enrollment ID: I20190522001996 |
| Provider Name | Imran Saeed |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669501748 PECOS PAC ID: 1153495742 Enrollment ID: I20190802001910 |
| Provider Name | Sabah Kalyoussef |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598089195 PECOS PAC ID: 8022147214 Enrollment ID: I20190923001632 |
| Provider Name | Arielle Cheifetz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770125122 PECOS PAC ID: 2769816750 Enrollment ID: I20191227002208 |
| Provider Name | Katelyn Rasmus |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750938437 PECOS PAC ID: 5496189375 Enrollment ID: I20191231001261 |
| Provider Name | Minal Doshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346506193 PECOS PAC ID: 6608112446 Enrollment ID: I20200212000583 |
| Provider Name | Gwendolyn Delbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447874623 PECOS PAC ID: 2668885781 Enrollment ID: I20210111001707 |
| Provider Name | Amanda M Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821476508 PECOS PAC ID: 7113264193 Enrollment ID: I20210823002971 |
| Provider Name | Jennifer L Perry Hidalgo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043599442 PECOS PAC ID: 3779720479 Enrollment ID: I20211019000805 |
| Provider Name | Shana R Mencher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053706887 PECOS PAC ID: 0244620383 Enrollment ID: I20211206000447 |
| Provider Name | Divya Khurana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295039253 PECOS PAC ID: 4183949225 Enrollment ID: I20220425002760 |
| Provider Name | Victoria Tortora |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619619491 PECOS PAC ID: 3274916705 Enrollment ID: I20220817000575 |
| Provider Name | Shanaya Recalde |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467966960 PECOS PAC ID: 8325495575 Enrollment ID: I20231108003630 |
| Provider Name | Vanessa A Kenny |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972003762 PECOS PAC ID: 0941643035 Enrollment ID: I20240206001056 |
| Provider Name | Kaya Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134516826 PECOS PAC ID: 5294175378 Enrollment ID: I20240507000820 |
| Provider Name | Michael J Laquaglia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225304140 PECOS PAC ID: 3274065115 Enrollment ID: I20241016001977 |
| Provider Name | Ruwaa Samarrai |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811484009 PECOS PAC ID: 7214286939 Enrollment ID: I20241018001144 |
| Provider Name | Jessica Maimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790512416 PECOS PAC ID: 5294263083 Enrollment ID: I20250107002884 |
Mini Mine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Melville Ave, Lakewood, NJ 08701 Phone: 732-886-8113 | |
Hero Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Georgian Ter, Lakewood, NJ 08701 Phone: 732-597-3822 | |
Happy Vitals Remote Health Jc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Avenue Of The States, Suite 101, Lakewood, NJ 08701 Phone: 310-230-5984 Fax: 310-421-4898 | |
Cassada Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Highway 70, Lakewood, NJ 08701 Phone: 732-886-6002 | |
First Aide Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Harvard St, Lakewood, NJ 08701 Phone: 347-920-7834 | |
North Atlantic Medical Associates,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1255 Route 70 Ste 22s, Lakewood, NJ 08701 Phone: 732-904-0077 | |
Ocean Health Initiatives Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 2nd St, Lakewood, NJ 08701 Phone: 732-363-6655 Fax: 732-363-6656 |