1. Home
  2. Directory
  3. New Jersey
  4. Lakewood
  5. Internal Medicine
  6. NPI Profile

SAINT PETER'S SPECIALTY PHYSICIANS, P.C.
NPI 1861894982
Internal Medicine - Gastroenterology in Lakewood, NJ

Active since September 19, 2014CLIA 31D2304944 · Waiver
500 RIVER AVE STE 110, LAKEWOOD, NJ 08701(732) 339-7880 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Mar 6, 2020 (2 updates tracked since 2020).

About Saint Peter's Specialty Physicians, P.c. NPPES

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

SAINT PETER'S SPECIALTY PHYSICIANS, P.C. (NPI 1861894982) is a healthcare organization registered as a gastroenterology in Lakewood, New Jersey and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through May 20, 2028, maintains a secondary practice location in Somerset, and lists Stacey Knowles, Director, as its authorized official.

NPPES Registry Identity

NPI1861894982
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSAINT PETER'S SPECIALTY PHYSICIANS, P.C.
Location Address500 RIVER AVE STE 110Lakewood, NJ 08701-4738
Mailing Address254 Easton Avenue, Attn: Managed Care DepartmentNew Brunswick, NJ 08901-1766 · (732) 565-5453 · Fax (732) 249-9572
Phone(732) 339-7880
Organization SubpartNo
Authorized OfficialStacey KnowlesDirector · (732) 565-5453
Enumeration DateSeptember 19, 2014
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1861894982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
Also ListedAudiologistTaxonomy 231H00000X
500 RIVER AVE STE 110, Lakewood, NJ 08701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1562 Easton Ave Ste ASomerset, NJ 08873-1900 · Phone (732) 937-6026 · Fax (732) 846-8911

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2304944

Saint Peter's Specialty Physicians At Lakewood · Lakewood, NJ
Active · expires May 20, 2028
CLIA Number31D2304944
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorWilliam Lowe
Laboratory Phone(732) 339-7360
Laboratory LocationSaint Peter's Specialty Physicians At Lakewood500 River Ave Suite 110, Lakewood, NJ 08701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BRACHA GEMAL PA-C
Physician Assistant (Medical)
500 RIVER AVE STE 110
LAKEWOOD, NJ 08701
Ocean County (732) 339-7360
MRS. YULIYA NUDELMAN M.D.
Internal Medicine
500 RIVER AVE STE 110
LAKEWOOD, NJ 08701
Ocean County (732) 339-7360

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 Saint Peter's Specialty Physicians, P.C.'s NPI number?

The NPI number for Saint Peter's Specialty Physicians, P.C. is 1861894982. It was assigned to this organization in the NPPES registry on September 19, 2014.

Where is Saint Peter's Specialty Physicians, P.C. located?

Saint Peter's Specialty Physicians, P.C. is located at 500 River Ave Ste 110, Lakewood, NJ 08701. The listed phone number is (732) 339-7880.

What is Saint Peter's Specialty Physicians, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Saint Peter's Specialty Physicians, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2304944) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Peter's Specialty Physicians, P.C. was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.