Keri Peterson MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KERI PETERSON MD PC

Practice address

115 E 57TH St
Suite 510
New York, NY 10022-2049

Phone

(212) 583-2962

Fax

(212) 744-4072

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Keri Peterson, M.D.NPI 1336119866

Title

Physician

Phone

(516) 429-9954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keri L Peterson, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1336119866
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1336502889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-583-2962",
            "fax_number": "212-744-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-583-2962",
            "fax_number": "212-744-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI PETERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-429-9954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gal Elimelech Keren Paz, M.D., M.H.A
• Paige Taylor Keren, LCSW
• Leah Kereri, PHARMD
• Ophir Keret, MD
• Marol Kerge, PMHNP
• Keris Dermatology ,PLLC
• Keris Laser and Dermatologic Surgery, PLLC
• Jules Kerman, M.D.
• Marjan Kermanshah, DDS, MS
• Ashley Kern, LP-MHC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.