Daniel Luddington Peterson (NPI# 1437536786, PAC ID# 0648576447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1437536786 |
| PAC ID by PECOS | 0648576447 |
| Professional Enrollment ID | I20180920000012 |
| Full Name | Daniel Luddington Peterson |
| Organization Legal Name | DR. MICHAEL SUBIK LLC |
| Address |
160 Ridge Rd Lyndhurst NJ 07071-1235 |
| Phone Number | 2019399098 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5395906796 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310006 | ST MARY'S GENERAL HOSPITAL |
| 321308 | CIBOLA GENERAL HOSPITAL |
| 320021 | PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4401 Coors Blvd Sw, Suite A, Albuquerque, NM 87121-6460 | 5052719900 | FOOT AND ANKLE SPECIALISTS OF NEW MEXICO PC |
| 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 | 5052719900 | FOOT AND ANKLE SPECIALISTS OF NEW MEXICO PC |
| 160 Ridge Rd, Lyndhurst, NJ 07071-1235 | 2019399098 | DR. MICHAEL SUBIK LLC |
| Organization Legal Name | DR. MICHAEL SUBIK LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Subik | Podiatry | Dr. Michael Subik LLC | 160 Ridge Rd, Lyndhurst, NJ 07071-1235 |
| Rajan A Patel | Podiatry | Dr. Michael Subik LLC | 160 Ridge Rd, Lyndhurst, NJ 07071-1235 |
| Michael John Huchital | Podiatry | Dr. Michael Subik LLC | 160 Ridge Rd, Lyndhurst, NJ 07071-1235 |
| Street Address |
160 RIDGE RD |
| City | LYNDHURST |
| State | NJ |
| Zip | 07071-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Subik | Podiatry | Dr. Michael Subik LLC | 160 Ridge Rd, Lyndhurst, NJ 07071-1235 |
| Rajan A Patel | Podiatry | Dr. Michael Subik LLC | 160 Ridge Rd, Lyndhurst, NJ 07071-1235 |
| Michael John Huchital | Podiatry | Dr. Michael Subik LLC | 160 Ridge Rd, Lyndhurst, NJ 07071-1235 |
| Gerard Louis Faugno | Family Medicine | 160 Ridge Rd, Lyndhurst, NJ 07071-1275 | |
| Marc A Notari | Podiatry | Dr.marc A. Notari Dpm L.L.C. | 160 Ridge Rd, Lyndhurst, NJ 07071-1253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randa Hamadeh | Internal Medicine | Bhmg - United Medical | 612 Rugherford Ave, Lyndhurst, NJ 07071 |
| Myoung A Park | Nurse Practitioner | Bhmg - United Medical | 612 Rugherford Ave, Lyndhurst, NJ 07071 |
| Mark L Inocencio | Nurse Practitioner | Bhmg - United Medical | 612 Rugherford Ave, Lyndhurst, NJ 07071 |
| Soheila Vossough | Internal Medicine | Park Avenue Medical Associates, Pa | 30 Park Ave, Suite 202, Lyndhurst, NJ 07071-1000 |
| Jane F Hoskin | Internal Medicine | Park Avenue Medical Associates, Pa | 30 Park Ave, Suite 202, Lyndhurst, NJ 07071-1000 |
| Rhonda A Hagler | Internal Medicine | Park Avenue Medical Associates, Pa | 30 Park Ave, Suite 202, Lyndhurst, NJ 07071-1000 |
| Joseph A Deluca | Ophthalmology | 20 Park Ave, Suite 1a, Lyndhurst, NJ 07071-1012 | |
| Matthew Lopes | Physical Therapy | Professional Occupational and Physical Therapy Pllc | 70 Ridge Rd, Lyndhurst, NJ 07071-1216 |
| Jason Toribio | Physical Therapy | Professional Orthopedic and Sports Physical Therapy of Nj LLC | 70 Ridge Rd, Lyndhurst, NJ 07071-1216 |
| Felix Thomas | Physical Therapy | Professional Orthopedic and Sports Physical Therapy of Nj LLC | 70 Ridge Rd, Lyndhurst, NJ 07071-1216 |
| Find all physicians in zip 07071 | |||
| City | LYNDHURST |
| Zip Code | 07071 |
| Specialty | PODIATRY |
| City + Specialty | LYNDHURST + PODIATRY |
Please comment or provide details below to improve the information on Daniel Luddington Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.