Individual provider Active NPI

Peter J Duggan, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1346379906
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008614 Issued in NY
Practice address
7 W 36TH St Ste 402
New York, NY 10018-7911
Phone
(646) 487-8700
Fax
(646) 476-6645
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008614 NY Primary

Addresses

Primary practice location

7 W 36TH St Ste 402
New York, NY 10018-7911

Mailing address

20409 10TH Ave
Rockaway Point, NY 11697-1817
Phone (917) 626-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000519 NY Practitioner - Chiropractic 8628236395 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Duggan Chiropractic PLLCGroup PAC ID 9739575333, 3 clinicians

Practice addresses (Care Compare)

7 W 36TH St
Suite 402
New York, NY 10018-7911
Phone (646) 478-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008614NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fuel Physical Therapy & Chiropractic PLLC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Duggan Chiropractic PLLC Chiropractor CurrentSince Dec 30, 2021 Accepting new patients

Locations

7 W 36th St
Ste 401
New York, NY 10018
Phone (646) 478-8700

7 W 36th St
Ste 402
New York, NY 10018
Phone (646) 478-8700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1346379906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20409 10TH AVE",
            "city": "ROCKAWAY POINT",
            "state": "NY",
            "postal_code": "116971817",
            "telephone_number": "917-626-9387",
            "fax_number": "646-476-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 36TH ST STE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187911",
            "telephone_number": "646-487-8700",
            "fax_number": "646-476-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.