Individual provider Active NPI

Peggy Ann Garjian, MD

  • Rheumatology Physician
  • Staten Island, NY
National Provider Identifier
1386755817
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
151980 Issued in NY
Practice address
71 Todt Hill Rd
Ste 201
Staten Island, NY 10314-4534
Phone
(718) 720-1030
Fax
(718) 720-1684
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 151980 NY Primary

Addresses

Primary practice location

71 Todt Hill Rd
Ste 201
Staten Island, NY 10314-4534

Mailing address

71 Todt Hill Rd
Ste 201
Staten Island, NY 10314-4534
Phone (718) 720-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000313 NY Practitioner - RheumatologyPractitioner - Internal Medicine 7416967435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1386755817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144534",
            "telephone_number": "718-720-1030",
            "fax_number": "718-720-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144534",
            "telephone_number": "718-720-1030",
            "fax_number": "718-720-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARJIAN",
        "first_name": "PEGGY ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "151980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.