Provider Demographics
NPI:1821011198
Name:HALPER, PETER RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:RICHARD
Last Name:HALPER
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 95000-5590
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-5590
Mailing Address - Country:US
Mailing Address - Phone:212-253-6800
Mailing Address - Fax:212-253-2190
Practice Address - Street 1:400 E 54TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5164
Practice Address - Country:US
Practice Address - Phone:212-588-0400
Practice Address - Fax:212-355-2300
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156648207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A62856Medicare UPIN
46D491Medicare ID - Type Unspecified