PETER T HETZLER MD FACS LLC
NPI 1053757914
Specialist in Little Silver, NJ

Q: What is Peter T Hetzler MD Facs LLC's NPI number?

The NPI number for Peter T Hetzler MD Facs LLC is 1053757914. It was assigned to this organization in the NPPES registry on May 20, 2013.

Q: What is Peter T Hetzler MD Facs LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 20, 2013

200 WHITE RD, SUITE 211, LITTLE SILVER, NJ 07739(732) 219-0447 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Peter T Hetzler Md Facs Llc NPPES

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

PETER T HETZLER MD FACS LLC (NPI 1053757914) is a healthcare organization registered as a specialist in Little Silver, New Jersey and active in the NPI registry since May 2013. The organization lists Peter T Hetzler, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1053757914

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePETER T HETZLER MD FACS LLC

Location Address200 WHITE RD, SUITE 211Little Silver, NJ 07739-1150

Mailing Address200 White Rd, Suite 211Little Silver, NJ 07739-1150 · (732) 219-0447

Phone(732) 219-0447

Organization SubpartNo

Authorized OfficialPeter T HetzlerOwner/physician · (732) 219-0447

Enumeration DateMay 20, 2013

✔ NPI 1053757914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA05342300

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

200 WHITE RD, Little Silver, NJ 07739

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Other Identifiers 1

Medicare UPINB36988

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter T Hetzler Md Facs Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20130522000057Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter T Hetzler MD Facs LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Hetzler, MD

Plastic and Reconstructive Surgery

NPI 1730143751

200 WHITE RD SUITE 211
Little Silver, NJ 07739

(732) 219-0447

✔ PECOS0.1 mi

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 T Hetzler MD Facs LLC's NPI number?

The NPI number for Peter T Hetzler MD Facs LLC is 1053757914. It was assigned to this organization in the NPPES registry on May 20, 2013.

Where is Peter T Hetzler MD Facs LLC located?

Peter T Hetzler MD Facs LLC is located at 200 White Rd Suite 211, Little Silver, NJ 07739. The listed phone number is (732) 219-0447.

What is Peter T Hetzler MD Facs LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter T Hetzler MD Facs LLC enrolled in Medicare?

Yes. Peter T Hetzler MD Facs LLC is registered in the Medicare PECOS enrollment system.

When is Peter T Hetzler MD Facs LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peter T Hetzler MD Facs LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Peter T Hetzler MD Facs LLC. 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 T Hetzler MD Facs LLC was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.