Active NPIIndividual provider

Dr. Courtney Peshkovsky, MD

Pediatrics, Pediatric Cardiology in Newark, New Jersey

NPI Number1811193402
Practice location
201 Lyons Ave Ste L5, Newark, NJ 07112-2027
Fax
—
Last updated
April 10, 2024

Courtney Peshkovsky is a Pediatrics, Pediatric Cardiology based in Newark, NJ. Courtney Peshkovsky practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Courtney Peshkovsky is 1811193402 and holds a License No. 25MA08793400 (NJ). The current practice location address for Courtney Peshkovsky is 201 Lyons Ave Ste L5, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-3500.

Provider Profile Details

NPI Number
1811193402
Provider Name
Courtney Peshkovsky
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave Ste L5, Newark, NJ 07112-2027
Phone Number
973-926-3500
Primary Taxonomy
Pediatrics, Pediatric Cardiology · 2080P0202X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2007
Last Update Date
April 10, 2024
Certification Date
April 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave Ste L5
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-3500
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave Ste L5
Newark, NJ 07112-2027
City
Newark
State
NJ
Zip
07112-2027
Phone Number
973-926-3500

License Information

License Number (1)
25MA08793400
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA08793400
License State (2)
NJ
Taxonomy (2)
Pediatrics, Pediatric Cardiology · 2080P0202X · 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 Dr. Courtney Peshkovsky, MD?

The NPI number of Dr. Courtney Peshkovsky, MD is 1811193402. It was assigned on June 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Courtney Peshkovsky, MD?

Dr. Courtney Peshkovsky, MD is registered under the primary taxonomy Pediatrics, Pediatric Cardiology (code 2080P0202X), licensed in NJ under license number 25MA08793400.

Where does Dr. Courtney Peshkovsky, MD practice?

The practice location is 201 Lyons Ave Ste L5, Newark, NJ 07112-2027. The office can be reached at 973-926-3500 (phone).

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 1811193402 directly on the NPPES registry website.

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