Kushana Alecia Peat-Edjang, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

270220081 Issued in NY

Practice address

140 Pelham Rd Apt 2C
New Rochelle, NY 10805-3119

Phone

(914) 462-9903

NPI assigned

Jun 20, 2012

Last updated

Jun 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kushana Alecia Peat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1245593516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PELHAM RD APT 2C",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053119",
            "telephone_number": "914-462-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PELHAM RD APT 2C",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053119",
            "telephone_number": "914-462-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAT-EDJANG",
        "first_name": "KUSHANA",
        "middle_name": "ALECIA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "270220081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUSHANA",
            "last_name": "PEAT",
            "middle_name": "ALECIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Danielle Mary Pavletich
• Sandra Pearce
• Shadae Lashonda Pearce, RN
• Pediatric Associates of Southern Westchester P C
• Pediatric Group of New Rochelle PC
• Michelle Lee Peduto-Pappas
• David Afolabi Peele, MS, ATC, LAT
• Enmanuel Pena

• Specialist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.