Active NPI
David Peters Jr.
- Social Worker
- New Rochelle, NY
National Provider Identifier
1053692962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 084155-1
- Practice address
- 112 Chauncey Ave
New Rochelle, NY 10801-2516 - Phone
- (914) 633-3855
- NPI assigned
- Sep 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 084155-1 | NY | Primary |
Addresses
Primary practice location
112 Chauncey Ave
New Rochelle, NY 10801-2516
Mailing address
112 Chauncey Ave
New Rochelle, NY 10801-2516
Phone (914) 633-3855
Other names 1
- David Peters Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084155-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1053692962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CHAUNCEY AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108012516",
"telephone_number": "914-633-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CHAUNCEY AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108012516",
"telephone_number": "914-633-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "DAVID",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-06",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "084155-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "PETERS",
"suffix": "JR.",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.