Jane A Petro, M.D., F.A.C.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1404141 Issued in NY

Practice address

400 E Main St
North Building
Mount Kisco, NY 10549-3417

Phone

(914) 242-7610

Fax

(914) 241-3239

NPI assigned

Sep 12, 2006

Last updated

Jul 9, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• New York Group for Plastic Surgery, LLP

  • Plastic and Reconstructive Surgery Physician
  • Tarrytown, NY
  • NPI 1750441887
  NPD (past)
• Plastic & Reconstructive Surgery, P.C.

  • Specialist
  • Mount Kisco, NY
  • NPI 1326132275
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265536866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTH BUILDING",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-242-7610",
            "fax_number": "914-241-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTH BUILDING",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-242-7610",
            "fax_number": "914-241-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1404141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Perruzza, R.D.
• Charles Perry, M.D.
• Justin Persaud, MD
• Peter M. Gottesfeld, MD PC
• Michele Petrakis, OTA
• Valery Petrosian, MD
• Susan Lee Pike, PHD CCC SLP
• Lisa Belle Pinchover, MD
• Grace L Pinckney, RN
• Magdalena Pinnetti, MS, LMHC

• Specialist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.