Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Peta-Gaye Kenisha Peterson, DO

Individual provider Pediatrics Physician · NPI 1598268526

Dr. Peta-Gaye Kenisha Peterson, DO is a Pediatrics Physician in Newark, New Jersey. Works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

166 Lyons Ave Fl 1
Newark, NJ 07112-2016
Phone: (973) 926-7282
Fax: (973) 923-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 W Burnside Ave, Bronx, NY 10453-4015 — (718) 716-4400

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MB10341500 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence 298839 (NY)

Record details

NPI number1598268526
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

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