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Deactivated NPI 1306827258 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Verdi Brault , MD

Pediatrics • Paterson, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Brault has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2005
NPI Deactivation Date February 05, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Brault, MD was a registered Pediatrics practicing in Paterson, NJ. Throughout an active medical career spanning 15 years, Dr. Brault provided care at the practice location at 32 CLINTON ST until profile deactivation on 2020-02-05.

Practice Location & Contact Primary Location

Practice Address

32 Clinton St

Paterson, NJ 075221775

Telephone 9737906594
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Paterson, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
44 Specialists

Practicing in Paterson, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA03648800

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1083293757

Doctor of Dental Medicine

Dr. Mary Kondoleon , MD

Obstetrics & Gynecology

NPI 1083643597

Doctor of Medicine (M.D.)

NPI 1326091562

Doctor of Medicine (M.D.)

Dr. Vivian Kim , DDS

Dentist - General Practice

NPI 1356865745

Doctor of Dental Surgery

NPI 1366114506

Doctor of Dental Surgery

NPI 1366376071

DENTALHYGIENIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 05, 2020

Record deactivated on February 05, 2020

NPI Profile Active February 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 21, 2012

Registered at 32 CLINTON ST, PATERSON, NJ 075221775 (Tel: 9737906594)

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Updated Business Mailing Address February 21, 2012

Registered at 265 DOREMUS AVE, GLEN ROCK, NJ 074521202 (Tel: 2016523008)

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Provider Name / Credentials Updated February 21, 2012

Recorded as PETER BRAULT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2012

Pediatrics (License #25MA03648800 in NJ)

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Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306827258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: February 21, 2012
Deactivation Date: February 05, 2020

Mailing Address

265 Doremus Ave

Glen Rock, NJ 074521202

Phone: 2016523008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.