SETH C PETERSEN MD
NPI 1417410820
Surgery in Hackensack, NJ

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 501, HACKENSACK, NJ 07601(551) 996-4777(551) 996-0800 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, May 22, 2025, Apr 11, 2019 (3 updates tracked since 2019).

About Seth C Petersen Md NPPES

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

SETH C PETERSEN MD (NPI 1417410820) is an individual surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA12416100) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1417410820
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSETH C PETERSENCredential: MD
Location Address20 PROSPECT AVE STE 501Hackensack, NJ 07601-1989
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Fax(551) 996-0800
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1417410820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NJ · 25MA12416100
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
20 PROSPECT AVE STE 501, Hackensack, NJ 07601

Secondary Practice Location 1

Location 120 Prospect Ave Ste 409Hackensack, NJ 07601-1997 · Phone (551) 996-3942 · Fax (551) 996-0978

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

Seth C Petersen Md 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 ID3870008451
PECOS Enrollment IDI20250714001105
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.

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Surgery (Trauma Surgery)
20 PROSPECT AVE STE 501
HACKENSACK, NJ 07601
Surgery
20 PROSPECT AVE STE 501
HACKENSACK, NJ 07601
Nurse Practitioner (Acute Care)
20 PROSPECT AVE STE 501
HACKENSACK, NJ 07601
Surgery (Vascular Surgery)
20 PROSPECT AVE STE 501
HACKENSACK, NJ 07601

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 Seth Petersen's NPI number?

The NPI number for Seth Petersen is 1417410820. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Seth Petersen located?

Seth Petersen practices at 20 Prospect Ave Ste 501, Hackensack, NJ 07601. The listed phone number is (551) 996-4777.

What is Seth Petersen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Seth Petersen enrolled in Medicare?

Yes. Seth Petersen 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 Seth Petersen affiliated with any hospitals?

According to CMS data, Seth Petersen is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Petersen was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.