MR. PETKO PETKOV MITEV PA-C
NPI 1881981348
Physician Assistant - Surgical in Fairfield, NJ

Q: What is Petko Mitev's NPI number?

The NPI number for Petko Mitev is 1881981348. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Q: What is Petko Mitev's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Petko Mitev was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 06, 2011PECOS EnrolledAccepts Medicare Assignment

695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004(973) 894-1263(888) 972-3703 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2017, Nov 10, 2016 (2 updates tracked since 2016).

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About Mr. Petko Petkov Mitev Pa-c NPPES

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

MR. PETKO PETKOV MITEV PA-C (NPI 1881981348) is an individual surgical provider in Fairfield, New Jersey, licensed in New Jersey (25MP00262400) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1881981348

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. PETKO PETKOV MITEVCredential: PA-C

Location Address695 US HIGHWAY 46, SUITE 400AFairfield, NJ 07004-1592

Mailing AddressPo Box 4059Wayne, NJ 07474-4059 · (973) 894-1263 · Fax (888) 972-3703

Phone(973) 894-1263

Fax(888) 972-3703

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 6, 2011

Last NPPES UpdateJanuary 25, 20172 updates tracked since enumeration

✔ NPI 1881981348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NJ · 25MP00262400

695 US HIGHWAY 46, Fairfield, NJ 07004

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Other Identifiers 2

Medicare PIN548627YP69NJ

Medicare PIN548630ZJ5NNJ

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

Mr. Petko Petkov Mitev Pa-c 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 ID1052582582

PECOS Enrollment IDI20110914000145

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

55 services47 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

49 services47 patients

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.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310110

LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County

Emergency services

Other Providers at the Same Location NPPES 15

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

MR. CARLO OPONT PA-C

Physician Assistant (Surgical)

695 US HIGHWAY 46, SUITE 400A
FAIRFIELD, NJ 07004

Essex County (973) 826-8080

DR. MARY F WELSH M.D.

Surgery

695 US HIGHWAY 46, SUITE 400A
FAIRFIELD, NJ 07004

Essex County (973) 894-1263

BARRY A. COHEN M.D.

Surgery

695 US HIGHWAY 46, SUITE 400A
FAIRFIELD, NJ 07004

Essex County (973) 826-8080

DR. RICKI M HENRY MD

Surgery

695 US HIGHWAY 46, SUITE 400A
FAIRFIELD, NJ 07004

Essex County (973) 826-8080

LYNN MALANKA RN, RNFA, APN.C

Registered Nurse (Registered Nurse First Assistant)

695 US HIGHWAY 46, STE 400A
FAIRFIELD, NJ 07004

Essex County (973) 826-8291

NANCYANN COLE PA-C

Physician Assistant

695 US HIGHWAY 46
FAIRFIELD, NJ 07004

Essex County (973) 826-8291

DR. RAJINDER SHARMA MD

Surgery

695 US HIGHWAY 46, SUITE 400A
FAIRFIELD, NJ 07004

Essex County (973) 826-8080

DR. HASSAN M ELMANSOURY MD

Specialist

695 US HIGHWAY 46, SUITE 400A
FAIRFIELD, NJ 07004

Essex County (973) 894-1263

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 Petko Mitev's NPI number?

The NPI number for Petko Mitev is 1881981348. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Petko Mitev located?

Petko Mitev practices at 695 Us Highway 46 Suite 400A, Fairfield, NJ 07004. The listed phone number is (973) 894-1263.

What is Petko Mitev's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Petko Mitev enrolled in Medicare?

Yes. Petko Mitev 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 Petko Mitev affiliated with any hospitals?

According to CMS data, Petko Mitev is affiliated with Overlook Medical Center and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Petko Mitev was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.