Organization Active NPI

Eric Peters DPM,PC

  • Foot Surgery Podiatrist
  • White Plains, NY
National Provider Identifier
1205022894
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003112 Issued in NY
Legal business name
ERIC PETERS DPM,PC
Practice address
222 Mamaroneck Ave Ste 310
White Plains, NY 10605-1316
Phone
(914) 222-0115
Fax
(702) 852-0631
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Hasan Masood, DPMNPI 1598210031
Title
Owner
Phone
(845) 536-8826

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N003112 NY Primary

Addresses

Primary practice location

222 Mamaroneck Ave Ste 310
White Plains, NY 10605-1316

Mailing address

222 Mamaroneck Ave Ste 310
White Plains, NY 10605-1316
Phone (914) 222-0115

Other identifiers 1

IdentifierTypeStateIssuer
DD1271OtherNYMEDICARE RAILROAD

Other names 1

  • Tri State Top Foot Specialist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000842 NY Part B Supplier - Clinic/Group Practice 9638126691 Receives reassigned benefits from 2 practitioners
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

171 E Post Rd
White Plains, NY 10601
Phone (914) 285-4444

171 E Post Rd
Ste 210211
White Plains, NY 10601
Phone (914) 285-4444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1205022894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAMARONECK AVE STE 310",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051316",
            "telephone_number": "914-222-0115",
            "fax_number": "702-852-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAMARONECK AVE STE 310",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051316",
            "telephone_number": "914-222-0115",
            "fax_number": "702-852-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC PETERS DPM,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-536-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD1271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Top Foot Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.