MEDICARE: DR. PETER MICHAEL STRASSBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	106427	NY
2	207R00000X	Internal Medicine Physician	25MA03167300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061613097	OTHER	NY	TID

General Provider Information

NPI Number	:	1922167964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER MICHAEL STRASSBERG

Provider Business Mailing Address
First Line	:	141 N KINDERKAMACK RD
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1313
Country	:	US
Telephone Number	:	201-746-6880
Fax Number	:	201-746-9570

Provider Business Practice Location Address
First Line	:	141 N KINDERKAMACK RD
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1313
Country	:	US
Telephone Number	:	201-746-6880
Fax Number	:	201-746-9570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	12/10/2025

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