Physician Compare National (NPI:1154344646)

HEALTHCARE PROVIDER: ANDRAS PETER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154344646
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466547526
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071116000036
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PETER
	Individual professional last name
Provider First Name	ANDRAS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1030 SAINT GEORGES AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103A
	Group Practice or individual's line 2 address
City	AVENEL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070011330
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7325961666
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y