MEDICARE: PETER MAGHARIOUS MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207L00000X	Anesthesiology Physician	25MA11095700	NJ

General Provider Information

NPI Number	:	1265967459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER MAGHARIOUS MD

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS RD STE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-5792
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1945 CORLIES AVE
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-5197
Country	:	US
Telephone Number	:	732-332-8656
Fax Number	:

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

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	07/22/2025

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