Peptide Health Groupllc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PEPTIDE HEALTH GROUPLLC

Practice address

10 Autumn TRL
Goshen, NY 10924-5900

Phone

(201) 421-6440

NPI assigned

Jun 3, 2026

Organization subpart

No

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

Authorized official

Name

Jody Fortuna

Title

Member

Phone

(201) 421-6440

Specialties & licenses 1

Addresses

Other names 2

• PEPTIDE HEALTH OF NEW YORK Doing business as
• PEPTIDE PHARMACY Doing business as

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1407789274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AUTUMN TRL",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245900",
            "telephone_number": "201-421-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AUTUMN TRL",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245900",
            "telephone_number": "201-421-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPTIDE HEALTH GROUPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-421-6440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEPTIDE HEALTH OF NEW YORK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEPTIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret C. Patterson, LCSW
• Renee Ann Pearce, MD
• Lesley Pearl, PH.D.
• Mirienkis Peguero
• Peptide Health Group NJ LLC
• Angela M. Perales, LCSW
• Jenesis NA Perez
• Kathleen E Perkins, COTA
• Shelley Ann Perry, COTA
• Millicent Rose Peterson, AU.D., CCC-A

• Community/Retail Pharmacy in Goshen, NY
• Providers in Goshen, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.