Peter Ahn, DC
Individual provider Active NPI Chiropractor · Oakland Gardens, NY
NPI 1336748847 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1336748847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X013389-01 (NY)
- Practice address
- 21950 74TH Ave FL 2
Oakland Gardens, NY 11364-3032 - Phone
- (518) 763-6790
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
535 Broadhollow Rd
Suite B36
Melville, NY 11747-3726
Phone (518) 763-6790
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003000381 | NY | Practitioner - Chiropractic | 2062898869 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013389 | NY | MD | Mental Health Counselor |
| X013389-01 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Peter Ahn, D.C.P.C | Chiropractor | Current |
Accepting new patients |
Locations
535 Broadhollow Rd
Ste B36
Melville, NY 11747
Phone (347) 569-2107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013389-01 | NY | Yes |
Addresses
Primary practice location
21950 74TH Ave FL 2
Oakland Gardens, NY 11364-3032
Mailing address
56A Motor Ave
Farmingdale, NY 11735-4038
Other providers in Oakland Gardens, NY
- Adlib Pharmacy Corp
- Advanced Medical Diagnostics of Queens PC
- Advant Orthocare
- Ishmam Ahmed
- Nadine Ahmed
- Aim 4 Life Medical Diagnostics PC
- Leticia Santos Ajodah
- Chandrani Ajodhya
- Warren Albert
- Nahrin Ali
All providers in Oakland Gardens, NY · Chiropractor 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 Aug 27, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.