Peter John Margulis, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01038374 Issued in IN

Practice address

30 Crescent Ave
Buffalo, NY 14214-2603

Phone

(716) 939-2614

Fax

(716) 939-2597

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

State University of Ny Upstate Medical University, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mending Hearts Counseling Inc.Group PAC ID 0042748766, 2 clinicians

Tanvir Shagar NP in Family Health PLLCGroup PAC ID 1658775606, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mending Hearts Counseling Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elmont, NY
  • NPI 1235951674

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Tanvir Shagar NP in Family Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1871160515
  Medicare reassignment Care Compare group NPD
• Bestself Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1508868407
  Medicare reassignment NPD
• Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
  • NPI 1225095201
  Medicare reassignment NPD
• Bestself Behavioral Health, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orchard Park, NY
  • NPI 1891907507
  NPD
• Jotno Family Health Nurse Practitioner PLLC

  • Nurse Practitioner
  • Buffalo, NY
  • NPI 1013774363
  NPD
• Catholic Charities of Buffalo

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1962596718
  NPD (past)
• Human Beginnings, Inc.

  • Mental Health Counselor
  • Gary, IN
  • NPI 1205881638

  Psychiatry

  NPD (past)
• Professional Accounts Receivable Management Team

  • Psychiatry Physician
  • Homewood, IL
  • NPI 1881760353
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1063544450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CRESCENT AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142603",
            "telephone_number": "716-939-2614",
            "fax_number": "716-939-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CRESCENT AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142603",
            "telephone_number": "716-939-2614",
            "fax_number": "716-939-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGULIS",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038374",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "172155-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Jean Marcussen, LMHC, CASAC
• Juliet Marczak, NP
• Marsha Marecki, NP
• Margaret Elaine Montgomery Nurse Practitioner in Psychiatry PLLC
• Alexander Margulies, RN
• Maria LC Labi MD PLLC
• Maria Parker LCSW, PLLC
• Marian Medical Pharmacy Inc
• Nancy Anne Mariani, CRPA PERMANENT
• Nathalie Marin

• Psychiatry Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.