D T Peterson DPM PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N004585 Issued in NY

Legal business name

D T PETERSON DPM PC

Doing business as

D T Peterson DPM PC

Practice address

8029 Jericho Tpke
Woodbury, NY 11797-1212

Phone

(516) 496-0900

Fax

(516) 496-0901

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald Thorgeir Peterson, DPM

Title

Proprietor

Phone

(516) 496-0900

Specialties & licenses 1

Addresses

Other names 1

• D T PETERSON DPM PC Doing business as

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1437322633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971212",
            "telephone_number": "516-496-0900",
            "fax_number": "516-496-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971212",
            "telephone_number": "516-496-0900",
            "fax_number": "516-496-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D T PETERSON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "THORGEIR",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "516-496-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D T PETERSON DPM PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D T PETERSON DPM PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cottage Pharmacy & Surgical, Inc (Cottage Surgical Supply)
• Daniel Francis Coyle, DDS
• Crossways Medical PLLC
• Katherine Cruz, DPT
• D T Peterson DPM PC
• D.C. Audiology, P.C.
• Lianna Dambrosio, OTR/L
• Cheryl Elizabeth Daves, M.D.
• David a Schlessinger, M.D.,P.C.
• David a. Friedman, MD, PC

• Foot Surgery Podiatrist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.