MR. PETER STATKEVICH JR. BSN, RN
NPI 1154288900
Registered Nurse in Fairfield, CT

Active since January 05, 2026
5151 PARK AVE, FAIRFIELD, CT 06825(203) 909-3560 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Peter Statkevich Jr. Bsn, Rn NPPES

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

MR. PETER STATKEVICH JR. BSN, RN (NPI 1154288900) is an individual registered nurse in Fairfield, Connecticut, licensed in New York (821402) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1154288900
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. PETER STATKEVICH JR.Credential: BSN, RN
Location Address5151 PARK AVEFairfield, CT 06825-1090
Mailing Address17 Southridge RdProspect, CT 06712-1568 · (203) 909-3560
Sole ProprietorYes
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
NPI 1154288900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 821402
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

5151 PARK AVE, Fairfield, CT 06825

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5151 PARK AVE, MASTERS OF PHYSICIAN ASSISTANT STUDIES PROGRAM
FAIRFIELD, CT 06825
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Physician Assistant
5151 PARK AVE
FAIRFIELD, CT 06825
Occupational Therapist
5151 PARK AVE, PITT CENTER
FAIRFIELD, CT 06825
Student in an Organized Health Care Education/Training Program
5151 PARK AVE
FAIRFIELD, CT 06825
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Physical Therapy Assistant
5151 PARK AVE
FAIRFIELD, CT 06825

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 Statkevich's NPI number?

The NPI number for Peter Statkevich is 1154288900. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Peter Statkevich located?

Peter Statkevich practices at 5151 Park Ave, Fairfield, CT 06825. The listed phone number is (203) 909-3560.

What is Peter Statkevich's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Peter Statkevich was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.