Provider Demographics
NPI:1053397356
Name:CURRERI, PETER ANDREW (DO)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ANDREW
Last Name:CURRERI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2031
Mailing Address - Country:US
Mailing Address - Phone:856-663-1121
Mailing Address - Fax:856-661-9818
Practice Address - Street 1:124 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-2031
Practice Address - Country:US
Practice Address - Phone:856-663-1121
Practice Address - Fax:856-661-9818
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2012-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06800600207RP1001X, 207R00000X
NJ25MB068006000207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8610509Medicaid
NJ8610509Medicaid
NJ044663Medicare PIN