PETER TAH MD PA
NPI 1053466722
Obstetrics & Gynecology in Clifton, NJ

Active since January 24, 2007
930 CLIFTON AVE, SUITE 104, CLIFTON, NJ 07013(973) 405-6333 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Tah Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER TAH MD PA (NPI 1053466722) is a healthcare organization registered as an obstetrics & gynecology in Clifton, New Jersey and active in the NPI registry since January 2007. The organization lists Peter Tah, Owner, as its authorized official.

NPPES Registry Identity

NPI1053466722
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePETER TAH MD PA
Location Address930 CLIFTON AVE, SUITE 104Clifton, NJ 07013-2723
Mailing AddressPo Box 406Paterson, NJ 07510 · (201) 512-9494
Organization SubpartNo
Authorized OfficialPeter TahOwner · (973) 405-6333
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053466722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MA058769
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
930 CLIFTON AVE, Clifton, NJ 07013

Other Identifiers 1

Medicaid6591701NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Tah Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter Tah MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1548254428
930 CLIFTON AVE
Clifton, NJ 07013
(973) 405-6333
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Tah MD PA's NPI number?

The NPI number for Peter Tah MD PA is 1053466722. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Peter Tah MD PA located?

Peter Tah MD PA is located at 930 Clifton Ave Suite 104, Clifton, NJ 07013. The listed phone number is (973) 405-6333.

What is Peter Tah MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peter Tah MD PA enrolled in Medicare?

Yes. Peter Tah MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peter Tah MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Peter Tah MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peter Tah MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.