Peter Cecil Taylor Dickinson, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

122936 Issued in NY

Practice address

2 Crosfield Ave
Suite 102
West Nyack, NY 10994-2226

Phone

(845) 358-1344

Fax

(845) 348-8578

NPI assigned

Jul 21, 2005

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• County of Rockland

  dba Rockland County Dept of Mental Health

  • Adult Mental Health Clinic/Center
  • Pomona, NY
  • NPI 1336255272
  Medicare reassignment NPD
• County of Rockland

  • Public Health or Welfare Agency
  • Pomona, NY
  • NPI 1700814951
  NPD
• County of Rockland

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pomona, NY
  • NPI 1518977164
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1225037187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 102",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-1344",
            "fax_number": "845-348-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 102",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-358-1344",
            "fax_number": "845-348-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "PETER CECIL",
        "middle_name": "TAYLOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "122936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00815912",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "2X4222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren J Delucia
• Mary Anne Dempsey, M.S., CCC-SLP/TSSLD
• William Desiena, LCSW
• Karolyn Lee Devaney, RN
• Diabetes & Endocrinology Consultants, PC
• Gina L Dicostanzo, NP
• Andrea-Jo Difiore-Kass, RPH
• Janice Digiacomo, ATC
• Amado V Dolorico, M.D.
• Joanna Dong, MD

• Infectious Disease Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.