Provider Demographics
NPI:1699948984
Name:PETER J. LITWIN, MD, LLC
Entity type:Organization
Organization Name:PETER J. LITWIN, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LITWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-450-8050
Mailing Address - Street 1:331 NEWMAN SPRINGS RD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5688
Mailing Address - Country:US
Mailing Address - Phone:732-450-8050
Mailing Address - Fax:732-676-6015
Practice Address - Street 1:331 NEWMAN SPRINGS RD
Practice Address - Street 2:SUITE 143
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5688
Practice Address - Country:US
Practice Address - Phone:732-450-8050
Practice Address - Fax:732-676-6015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PETER J. LITWIN, MD, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-08
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA650692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100129Medicare PIN