Active NPI
Peter Distler, MD, PLLC
- Gastroenterology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 179238
- Legal business name
- PETER DISTLER, MD, PLLC
- Practice address
- 3 East 83Rd Street
New York, NY 10028 - Phone
- (212) 734-3444
- Fax
- (212) 734-3444
- NPI assigned
- Dec 1, 2009
- Last updated
- Dec 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter M. Distler, M.D.
- Title
- Owner
- Phone
- (212) 734-3444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 179238 | NY | Primary |
Addresses
Primary practice location
3 East 83Rd Street
New York, NY 10028
Mailing address
P.O. Box 1434
Scarsdale, NY 10583-9434
Phone (212) 734-3444
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2311655 | Peter Distler, MD | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- New York, NY
- NPI 1548231160
-
- Gastroenterology Physician
- New York, NY
- NPI 1205808532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1043548183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1434",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105839434",
"telephone_number": "212-734-3444",
"fax_number": "212-734-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 EAST 83RD STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-734-3444",
"fax_number": "212-734-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER DISTLER, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "DISTLER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-734-3444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "179238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.