Peter Nicholas De Sanctis, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

91459 Issued in NY

Practice address

115 South Ferry Road
Shelter Island, NY 11964-1957

Phone

(631) 749-4154

Fax

(631) 749-3663

NPI assigned

May 13, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter Nicholas De Sanctis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1003083775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1957",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641957",
            "telephone_number": "631-749-4154",
            "fax_number": "631-749-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTH FERRY ROAD",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641957",
            "telephone_number": "631-749-4154",
            "fax_number": "631-749-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SANCTIS",
        "first_name": "PETER",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "91459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "DE SANCTIS",
            "middle_name": "NICHOLAS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Louise Ann Abitbol, LCSW-R
• Robert David Blank, D.M.D.
• Jennifer Meta Crane, L.AC.
• Bernadette Ann Gildea, LCSW
• JH Community Services LLC
• JH Community Services of Il LLC (JH Community Services LLC)
• Jr Smith Professional Services (Shelter Island Homecare Agency)
• Kyle Karen

• Urology Physician in Shelter Island, NY
• Providers in Shelter Island, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.