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DR. PETER VINCENT TUMMINELLI JR. M.D.
NPI 1164877064
Physical Medicine & Rehabilitation - Sports Medicine in Newark, NJ

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST, DOC STE 3300, NEWARK, NJ 07103(973) 972-2800 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2023, Jan 25, 2022 (2 updates tracked since 2022).

About Dr. Peter Vincent Tumminelli Jr. M.d. NPPES

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

DR. PETER VINCENT TUMMINELLI JR. M.D. (NPI 1164877064) is an individual sports medicine provider in Newark, New Jersey, licensed in New Jersey (25MA10805000) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1164877064
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. PETER VINCENT TUMMINELLI JR.Credential: M.D.
Location Address90 BERGEN ST, DOC STE 3300Newark, NJ 07103-2425
Mailing Address183 S Orange Ave Ste F-1560Newark, NJ 07103-2757 · (973) 972-3606 · Fax (973) 972-0918
Phone(973) 972-2800
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2016
Enumeration DateApril 28, 2016
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1164877064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Licenses✔ Licensed in NJ · 25MA10805000✔ Licensed in FL · ME150036
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
90 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 S Orange Ave Ste 123Livingston, NJ 07039-5817 · Phone (973) 322-7330

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 Vincent Tumminelli Jr. M.d. 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 ID5395128771
PECOS Enrollment IDI20220817002763
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services30 patients
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.
33 services23 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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.

MS. YU-CHI JEN
General Acute Care Hospital
90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103
Essex County (973) 972-2800
UNIVERSITY SURGICAL ASSOCIATES (OM)
Surgery
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2400
MARC H. LAVIETES M.D.
Internal Medicine (Pulmonary Disease)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Essex County (973) 972-2500
JOSEPH V SCHWAB MD
Pediatrics
90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103
Essex County (973) 972-2100
DR. VISHNU CHOUDHARY POTINI MD
Orthopaedic Surgery
90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103
Essex County (973) 972-2150
DR. AREVIK ABRAMYAN MD, PHD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2323
HANNAAN SHAFIQ CHOUDHRY
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2548
PATRICK MAHONY FOYE M.D.
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103
Essex County (973) 972-2802

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 Tumminelli's NPI number?

The NPI number for Peter Tumminelli is 1164877064. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Peter Tumminelli located?

Peter Tumminelli practices at 90 Bergen St Doc Ste 3300, Newark, NJ 07103. The listed phone number is (973) 972-2800.

What is Peter Tumminelli's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Peter Tumminelli enrolled in Medicare?

Yes. Peter Tumminelli 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.

Is Peter Tumminelli affiliated with any hospitals?

According to CMS data, Peter Tumminelli is affiliated with Cooperman Barnabas Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Peter Tumminelli was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.