Provider Demographics
NPI:1407962509
Name:CHARAP, PETER JEFF (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:JEFF
Last Name:CHARAP
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 1:234 CENTRAL PARK W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6003
Mailing Address - Country:US
Mailing Address - Phone:212-579-2200
Mailing Address - Fax:212-579-2212
Practice Address - Street 1:234 CENTRAL PARK WEST
Practice Address - Street 2:SUITE ONE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-579-2200
Practice Address - Fax:212-579-2212
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW35591OtherGROUP MEDICARE PIN
NYA61193Medicare UPIN
NY22E3235591Medicare PIN