Peter Chiu, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · East Patchogue, NY
NPI 1306861802 · NPPES record last updated May 13, 2008
Key facts
- NPI
- 1306861802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 204994 (NY)
- Practice address
- 240 Patchogue Yaphank Rd
Suite 101
East Patchogue, NY 11772-4868 - Phone
- (631) 289-8928
- Fax
- (631) 289-8980
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040717000251 | NY | Practitioner - Physical Medicine and Rehabilitation | 5991784456 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204994 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Spine Joint & Neurology,PC | Past | Accepting new patients | |
| LMC Physician Services, PC | Past | Accepting new patients | |
| Edison R. Blanco Physician PC | Past | Accepting new patients |
Interoperability endpoints
- pchiu504916@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 204994 | NY | Yes |
Addresses
Primary practice location
240 Patchogue Yaphank Rd
Suite 101
East Patchogue, NY 11772-4868
Mailing address
240 Patchogue Yaphank Rd
Suite 101
East Patchogue, NY 11772-4868
Phone (631) 289-8928
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204994 | Other | NY | STATE LICENSE |
| 01957877 | Medicaid | NY |
Other providers in East Patchogue, NY
- Zachary Cassetta
- Chidambaranathan Chandrasekaran
- Joel Myladoor Chandy
- Pierre Wisly Charles
- Robert M Chernaik
- Christopher Joubert DDS PC
- George Ciresi III
- Fabiola Civil
- Erin M Clancy
- CM Blaine MD PLLC
All providers in East Patchogue, NY · Physical Medicine & Rehabilitation Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.