Petya Petrov, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219975 Issued in NY

Practice address

481 Main St
Suite 201
New Rochelle, NY 10801-6324

Phone

(914) 740-4918

Fax

(914) 740-4917

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Best Value Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  Medicare reassignment NPD
• Three Generations Medical PC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1508409038
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1376610436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GROVE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016254",
            "telephone_number": "914-813-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST",
            "address_2": "SUITE 201",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016324",
            "telephone_number": "914-740-4918",
            "fax_number": "914-740-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROV",
        "first_name": "PETYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subramanian Perumal, M.D.
• Peter a Fauci, Jr., MD PC
• Emily Peter
• David Peters Jr.
• Liza Anabel Petriccione
• Julieann Petti
• Nicole Pettiford
• Katie Peyser, MD
• Werner K. Pfisterer, M.D.
• Linda Phanord

• Internal Medicine Physician in New Rochelle, NY
• Providers in New Rochelle, 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 Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.