Active NPIIndividual provider

Peter A Koberle

Speech-Language Pathologist, in Montclair, New Jersey

NPI Number1417172339
Practice location
42 N Mountain Ave, Montclair, NJ 07042-2318
Fax
973-783-8499
Last updated
July 8, 2007

Peter Anthony Koberle is a Speech-Language Pathologist, based in Montclair, NJ. Peter Anthony Koberle practices in Montclair, NJ. The NPI Number for Peter Anthony Koberle is 1417172339 and holds a License No. 41YS00296100 (NJ). The current practice location address for Peter Anthony Koberle is 42 N Mountain Ave, Montclair, NJ 07042-2318 and can be reached out via phone at 973-783-9400 and via fax at 973-783-8499.

Provider Profile Details

NPI Number
1417172339
Provider Name
Peter Anthony Koberle
Provider Entity Type
Individual
Gender
Male
Address
42 N Mountain Ave, Montclair, NJ 07042-2318
Phone Number
973-783-9400
Fax Number
973-783-8499
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 N Mountain Ave
Montclair, NJ 07042-2318
Zip
07042-2318
Phone Number
973-783-9400
Fax Number
973-783-8499
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
188 Claremont Ave
Apt. #47
Montclair, NJ 07042-3525
City
Montclair
State
NJ
Zip
07042-3525

License Information

License Number
41YS00296100
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter A Koberle?

The NPI number of Peter A Koberle is 1417172339. It was assigned on April 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Peter A Koberle?

Peter A Koberle is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00296100.

Where does Peter A Koberle practice?

The practice location is 42 N Mountain Ave, Montclair, NJ 07042-2318. The office can be reached at 973-783-9400 (phone) or 973-783-8499 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417172339 directly on the NPPES registry website.

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