Peter E. Wharton, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001839 Issued in NY

Practice address

300 Bayshore Road
North Babylon, NY 11703

Phone

(631) 586-2700

Fax

(631) 491-8799

NPI assigned

Apr 19, 2007

Last updated

Oct 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Family Residences and Essential Enterprises, Inc.

  dba Terry's Place

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bethpage, NY
  • NPI 1497943757
  NPD (past)
• Queens Long Island Medical Group, P.C.

  dba AdvantageCare Physicians

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891732038
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1063639169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 KNOLLWOOD RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431551",
            "telephone_number": "631-421-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAYSHORE ROAD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "11703",
            "telephone_number": "631-586-2700",
            "fax_number": "631-491-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "PETER",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ventura, NP
• Sandra J Victor
• Walgreen Co (Rite Aid)
• Sharon Elise Weidberg, SEIT
• Amy Wenz
• Justin Willie Wheeler
• Khadejah Williams-Silvera, NP
• Steven Hamuel Williams Jr., LPN
• Valarie Williams, MS,CCC-SLP
• Ashley Brooke Wilmot, DMD

• Physician Assistant in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.