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Peter Joseph Powers

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as PETER POWERS.

Based on the most recent information from CMS, provider Peter Joseph Powers is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1659095552
Provider Type
Individual
Full Name
Powers, Peter Joseph
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/4/2022
Last Updated
10/4/2022

Contact Information

Practice Location

402 W Ivy Ln, Englewood, NJ 07631-1409

(201) 916-5730

Unlisted Fax

Mailing Location

402 W Ivy Ln, Englewood, NJ 07631-1409

(201) 916-5730

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 074705-01 New York

Peter Joseph Powers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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