DR. PETER J CLARK D.O.
NPI 1164664967
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bedminster, NJ

Q: What is Peter Clark's NPI number?

The NPI number for Peter Clark is 1164664967. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Q: What is Peter Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Peter Clark was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2009PECOS EnrolledAccepts Medicare Assignment

1 ROBERTSON DR, BEDMINSTER, NJ 07921(908) 277-8900(908) 476-5666 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Peter J Clark D.o. NPPES

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

DR. PETER J CLARK D.O. (NPI 1164664967) is an individual child & adolescent psychiatry provider in Bedminster, New Jersey, licensed in New Jersey (25MB09216800) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1164664967

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. PETER J CLARKCredential: D.O.

Location Address1 ROBERTSON DRBedminster, NJ 07921-1716

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(908) 277-8900

Fax(908) 476-5666

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009

Enumeration DateMarch 25, 2009

Last NPPES UpdateJuly 8, 2022

NPPES CertifiedJuly 8, 2022

✔ NPI 1164664967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NJ · 25MB09216800

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 25MB09216800 (NJ)

1 ROBERTSON DR, Bedminster, NJ 07921

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter J Clark D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082918917

PECOS Enrollment IDI20160212000753

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

112 services36 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

60 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

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.

RANDALL JASON WHITT PT, DPT

Physical Therapist

1 ROBERTSON DR, SUITE 20
BEDMINSTER, NJ 07921

Somerset County (908) 719-2000

STEP AHEAD PHYSICIAN WEIGHT MANAGMENT CENTER OF NEW JERSEY

Clinic/Center

1 ROBERTSON DR
BEDMINSTER, NJ 07921

Somerset County (908) 470-2235

MS. LISA GEORGE OT

Occupational Therapist

1 ROBERTSON DR
BEDMINSTER, NJ 07921

Somerset County (908) 719-9778

DR. MERYL A BAURMASH D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

1 ROBERTSON DR, SUITE 15
BEDMINSTER, NJ 07921

Somerset County (908) 781-7037

THOMAS F LALLEY PT

Physical Therapist

1 ROBERTSON DR
BEDMINSTER, NJ 07921

Somerset County (908) 252-9700

ARTHROSCOPIC SURGERY & SPORTS MEDICINE CENTER, PA

Orthopaedic Surgery

1 ROBERTSON DR, SUITE 11
BEDMINSTER, NJ 07921

Somerset County (908) 234-9800

NEW JERSEY ANESTHESIA ASSOCIATES

Anesthesiology

1 ROBERTSON DR, SUITE 22
BEDMINSTER, NJ 07921

Somerset County (973) 660-9334

FORESIGHT GENETICS LLC

Nurse Practitioner (Family)

1 ROBERTSON DR, SUITE #25
BEDMINSTER, NJ 07921

Somerset County (908) 532-0788

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 Clark's NPI number?

The NPI number for Peter Clark is 1164664967. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Peter Clark located?

Peter Clark practices at 1 Robertson Dr, Bedminster, NJ 07921. The listed phone number is (908) 277-8900.

What is Peter Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Peter Clark enrolled in Medicare?

Yes. Peter Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Peter Clark was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.