Peter Patetsios MD PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PETER PATETSIOS MD PC

Practice address

900 Northern Blvd
Suite 140
Great Neck, NY 11021-5337

Phone

(516) 570-6818

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Peter Patetsios, MD

Title

Owner

Phone

(516) 570-6818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1427500891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "address_2": "SUITE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215337",
            "telephone_number": "516-570-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "address_2": "SUITE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215337",
            "telephone_number": "516-570-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER PATETSIOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "PATETSIOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-570-6818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ivan Perry, D.S.W., L.C.S.W.
• Amanda Persaud
• Joy-Anne Devi Persaud
• Stephanie Persichilli, TSSH
• Kelsey M Perst
• Darnell David Peters, DPT
• Elizabeth Peters, M.S.ED., BCBA,LBA
• Lauren B Peterson, ED.M.
• Elena Nicole Petkanas
• Tamara Jean Petrazzi, DPT

• Vascular Surgery Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.