Organization Active NPI

Peter a Fauci, Jr., MD PC

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1306971692
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
081972 Issued in NY
Legal business name
PETER A FAUCI, JR., MD PC
Practice address
23 Washington Ave
New Rochelle, NY 10801-5504
Phone
(914) 235-6540
Fax
(914) 235-5209
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Dr. Peter A Fauci Jr., M.D.
Title
M.D.
Phone
(914) 235-6540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 081972 NY Primary

Addresses

Primary practice location

23 Washington Ave
New Rochelle, NY 10801-5504

Mailing address

23 Washington Ave
New Rochelle, NY 10801-5504
Phone (914) 235-6540

Other identifiers 1

IdentifierTypeStateIssuer
00544761MedicaidNY

National Provider Directory

National Provider Directory

Locations

23 Washington Ave
New Rochelle, NY 10801
Phone (914) 235-6540

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1306971692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WASHINGTON AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015504",
            "telephone_number": "914-235-6540",
            "fax_number": "914-235-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WASHINGTON AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015504",
            "telephone_number": "914-235-6540",
            "fax_number": "914-235-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A FAUCI, JR., MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "FAUCI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "914-235-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "081972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00544761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.