NPI
Peter Stephen Konchak
NPI 1669452025
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.O.
- Type
- Individual
- Enumeration date
- 2006-01-20
- Last updated
- 2025-01-30
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Specialties
Licenses
- License CA
- 20A21313
- License VA
- 0102208258
- License DE
- C2-0023872
- License MI
- 5101007972
- License NJ
- 25MB06099100
Location
- Practice location
- 7 S Ohio Ave Ste 2200
- City
- Atlantic City NJ
- Postal code
- 08401-6711
- Phone
- (609) 404-3830
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Atlantic City, NJ. 741 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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