Active NPI
Peter G Gorman, DC
- Chiropractor
- Mahopac, NY
National Provider Identifier
1114185147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X002504-1
- Practice address
- 11 Miller Rd
Mahopac, NY 10541-2219 - Phone
- (845) 628-4900
- Fax
- (845) 628-4549
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X002504-1 | NY | Primary |
Addresses
Primary practice location
11 Miller Rd
Mahopac, NY 10541-2219
Mailing address
PO Box 873
Mahopac, NY 10541-0873
Phone (845) 628-4900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002504-1 | NY | MD | Chiropractor |
| 002504 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1114185147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105410873",
"telephone_number": "845-628-4900",
"fax_number": "845-628-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MILLER RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105412219",
"telephone_number": "845-628-4900",
"fax_number": "845-628-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "PETER",
"middle_name": "G",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X002504-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.