Provider Demographics
NPI:1093726119
Name:NYITRAY, PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:NYITRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-0607
Mailing Address - Country:US
Mailing Address - Phone:908-806-0826
Mailing Address - Fax:908-806-0827
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4603
Practice Address - Country:US
Practice Address - Phone:908-788-6410
Practice Address - Fax:908-788-6361
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07475100207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ069102Medicare ID - Type Unspecified
NJH82648Medicare UPIN