Individual provider Active NPI

Peggy Joan Feary-Pray

  • Genetic Counselor (M.S.)
  • Corfu, NY
National Provider Identifier
1295986644
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
RO58040-1 Issued in NY
Practice address
2620 Richley Rd
Corfu, NY 14036-9623
Phone
(585) 547-3342
NPI assigned
Oct 3, 2008
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Genetic Counselor (M.S.) 170300000X RO58040-1 NY Primary

Addresses

Primary practice location

2620 Richley Rd
Corfu, NY 14036-9623

Mailing address

2620 Richley Rd
Corfu, NY 14036-9623
Phone (585) 547-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001811 NY Practitioner - Clinical Social Worker 5496007619 Practice locations: Medina, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO58040-1NYMDGenetic Counselor (M.S.)
058040NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1295986644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 RICHLEY RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369623",
            "telephone_number": "585-547-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 RICHLEY RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369623",
            "telephone_number": "585-547-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARY-PRAY",
        "first_name": "PEGGY",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NY",
            "license": "RO58040-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corfu, NY

Sources for this page

Verify at the official NPI Registry.