Emily Peck

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311

Phone

(703) 370-0073

Fax

(703) 370-2002

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

Yes

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 NJ, DC, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marjan Yousefi MD PCGroup PAC ID 2365505708, 3 clinicians

Warrenton Dermatology PCGroup PAC ID 3476519166, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.87 of 100Reported as group

Quality

94.09

Promoting interoperability

92

Improvement activities

40

Cost

92.14

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Marjan Yousefi, M.D., P.C.

  • Dermatology Physician
  • Vienna, VA
  • NPI 1619113388

  DC

  Medicare reassignment Care Compare group NPD
• Warrenton Dermatology PC

  dba Warrenton Dermatology & Skin Therapy Center

  • Dermatology Physician
  • Warrenton, VA
  • NPI 1396778205
  Medicare reassignment Care Compare group
• Hunterdon Urgent Care PC

  • Urgent Care Clinic/Center
  • Flemington, NJ
  • NPI 1154791796
  Medicare reassignment
• Pegasus Emergency Group PA

  • Emergency Medicine Physician
  • Flemington, NJ
  • NPI 1336179621
  Medicare reassignment

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1407425515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088220791",
            "telephone_number": "908-237-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-370-0073",
            "fax_number": "703-370-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Wescott Dr",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224603",
            "country_code": "US",
            "telephone_number": "908-237-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Jayne Peake, PT
• Pearl Vitality Counseling
• Pearlbrite Dental Inc (Franconia Dental Care)
• Patricia Pearson
• Anna Peaster
• Will Peck, PHARM.D.
• Paul J Peckar, MD
• Pediatric and Adolescent Dentistry PC
• Pediatric Associates of Alexandria
• Pediatric Therapy Partners of Nova, LLC

• Physician Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.
• 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.