Provider Demographics
NPI:1619119211
Name:PETER HOE CLINIC @SMMC
Entity type:Organization
Organization Name:PETER HOE CLINIC @SMMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAPIORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-690-3514
Mailing Address - Street 1:1160 RAYMOND BLVD
Mailing Address - Street 2:9TH FLOOR - PHYSICIAN SERVICES
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-4168
Mailing Address - Country:US
Mailing Address - Phone:973-491-2958
Mailing Address - Fax:
Practice Address - Street 1:111 CENTRAL AVE
Practice Address - Street 2:PETER HOE CLINIC
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1909
Practice Address - Country:US
Practice Address - Phone:973-877-5649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT MICHAELS MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJPENDINGMedicaid
NJPENDINGMedicare PIN