DR. PETER STEPHEN KONCHAK (D.O.) – Maternal & Fetal Medicine Physician, NPI 1669452025

DR. PETER STEPHEN KONCHAK (D.O.) is a healthcare provider. based in Bellmawr, New Jersey. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 20A21313 (CA). The NPI Number for DR. PETER STEPHEN KONCHAK (D.O.) is 1669452025

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER STEPHEN KONCHAK (D.O.)
NPI
1669452025
Phone
(856) 770-5772
Address
PO BOX 635
Enumeration Date
20 January 2006
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6096521000
Graduation Year
1980 (46 years ago)
PAC ID
1850384637
Group Practice PAC ID
8527953660
Professional Enrollment ID
I20040407000134
Address ID
NJ082409102PO65XXXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience100
Completeness75
Years active:20State licenses:5Digital endpointsOther names

1,504 OBSTETRICS/GYNECOLOGY in NJ

Provider Addresses for DR. PETER STEPHEN KONCHAK (D.O.)

  • PO BOX 635

    BELLMAWR, NJ 080990635

    Phone: (856) 770-5772

    Fax: (856) 566-2797

    Type: Mailing

  • 100 KINGS WAY E

    SUITE # B5

    SEWELL, NJ 080802237

    Phone: (856) 589-1414

    Fax: (856) 589-7193

    Type: Location

  • 9300 Valley Childrens Pl # Sc05

    Madera, CA 936368761

    Phone: (559) 353-6700

    Type: Location

  • 1060 S Governors Ave Ste 102

    Dover, DE 199046920

    Phone: (027) 446-2203

    Fax: (302) 734-8454

    Type: Location

  • 101 Wellness Way Ste 250

    Milford, DE 199634366

    Phone: (302) 744-6220

    Fax: (302) 734-8454

    Type: Location

  • 601 John St Ste N1100

    Kalamazoo, MI 490075349

    Phone: (269) 341-7887

    Type: Location

  • 9105 Stony Point Dr

    Richmond, VA 232351979

    Phone: (804) 327-6432

    Type: Location

  • 98 James St Fl 4

    Edison, NJ 088203902

    Phone: (732) 321-7901

    Type: Location

  • 7 S OHIO AVE STE 2200

    ATLANTIC CITY, NJ 084016711

    Phone: (609) 404-3830

    Fax: (609) 404-3836

    Type: Location

  • 640 S. STATE STREET

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 480-1688

    Fax: (302) 480-9807

    Type: Mailing

  • 1060 S GOVERNORS AVE STE 102

    DOVER, DE 199046920

    Phone: (027) 446-2203

    Fax: (302) 734-8454

    Type: Location

  • 331 NEWMAN SPRINGS RD STE 220

    RED BANK, NJ 077015792

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: UCB, Inc. ($33).

Total Amount

$78

General + Research + Ownership

Payments

3

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040407000134IObstetrics/GynecologyNJTBD
I20210312000168IObstetrics/GynecologyDETBD
I20230908002145IMaternal Fetal MedicineCATBD
I20240131000197IObstetrics/GynecologyVATBD
I20241113001042IObstetrics/GynecologyMITBD
I20241219000799IObstetrics/GynecologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08099)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527953660View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)NJ
Internal MedicineVA
Nurse PractitionerNJ
Emergency MedicineOH
Certified Nurse Midwife (Cnm)NJ
Emergency MedicineOH
Internal MedicineNJ
-NJ
-NJ
Critical Care (Intensivists), Internal MedicineNJ

Reviews

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Frequently asked questions

What is the registry number for DR. PETER STEPHEN KONCHAK (D.O.)?
The registry entry for DR. PETER STEPHEN KONCHAK (D.O.) shows NPI 1669452025.
Should I treat DR. PETER STEPHEN KONCHAK (D.O.) as an active provider?
Patients and plans typically see DR. PETER STEPHEN KONCHAK (D.O.) as active in the national extract.
What type of care does DR. PETER STEPHEN KONCHAK (D.O.) provide?
DR. PETER STEPHEN KONCHAK (D.O.)'s profile centers on Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. PETER STEPHEN KONCHAK (D.O.) in Bellmawr, New Jersey?
For routing, start with Bellmawr, New Jersey for DR. PETER STEPHEN KONCHAK (D.O.), then verify phone and hours locally.
Who maintains DR. PETER STEPHEN KONCHAK (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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