DR. PETER FREDERICK FINELLI (NPI# 1033310560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033310560 |
| Entity Type | Individual |
| Full Name | DR. PETER FREDERICK FINELLI |
| Credential | D.O. |
| Practice Address |
506 Lakeside Dr. Southampton PA 18966 |
| Mailing Address |
25 Lakefield Dr Marlton NJ 08053-5321 |
| Practice Telephone | 2153641400 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MB72798 | NJ | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MB72798 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | MB72798 | 01 |
| NJ | 0020087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
| 1427067156 | Peter K. Finelli | Family Medicine | 67 Broadway, Elmwood Park, NJ 07407-1836 | 2006-08-05 |
| Street Address |
506 LAKESIDE DR. |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306964572 | Tami Robinson Herman | Chiropractor | 506 Lakeside Dr., Southampton, PA 18966-4078 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602255 | New Freedom Behavioral Health, LLC | Psychiatry & Neurology | 72 Hillside Ln, Fallsington, PA 19054-1133 | 2016-07-05 |
| 1669840930 | Recovery Pathways | Psychiatry & Neurology | 396 Locust Ave, Washington, PA 15301-3357 | 2015-09-03 |
| 1083820377 | Reading Hospital | Psychiatry & Neurology | Sharp Avenue & Frances Street, Laureldale, PA 19605 | 2007-05-15 |
| 1447384193 | Frederick Rhode Stoddard II | Psychiatry & Neurology | 349 Lancaster Ave Ste 206, Haverford, PA 19041 | 2007-03-15 |
| 1366518847 | Kimberly Toland Jones | Psychiatry & Neurology | 850 W Lancaster Ave, 2nd Fl Lower Merion Counseling Services, Bryn Mawr, PA 19010-3220 | 2006-11-28 |
| 1578649299 | Roy Christopher Monsour | Psychiatry & Neurology | 119 Dakota Ln, Ligonier, PA 15658-3617 | 2006-10-27 |
| 1548203425 | James Jay Nocks | Psychiatry & Neurology | 920 E Baltimore Pike, Kennett Square, PA 19348-1800 | 2006-06-14 |
| 1134789662 | 2 Crows LLC | Psychiatry & Neurology | 722 E Butler Pike, Ambler, PA 19002-2310 | 2019-06-17 |
| 1669901658 | Gnh Bhimasani Inc | Psychiatry & Neurology | 321 Lois Ln, State College, PA 16801-2561 | 2017-06-05 |
| 1497299085 | Quantum Health Practice, LLC | Psychiatry & Neurology | 505 York Rd, Suite 7a, Jenkintown, PA 19046-2136 | 2016-12-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.