Healthcare Provider Details

I. General information

NPI: 1013350297
Provider Name (Legal Business Name): STEPHEN ZACHARY PEEKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 210TH ST
BRONX NY
10467-2401
US

IV. Provider business mailing address

501 RIDGEVIEW DR
HOCKESSIN DE
19707-2313
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4826
  • Fax:
Mailing address:
  • Phone: 302-584-4527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberC1-0028532
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberC1-0028532
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number284959
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: