Jaquanda N Peterkin

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

N5Q2B6C8 Issued in NY

Practice address

165 Field St
Rochester, NY 14620-1943

Phone

(585) 362-1905

NPI assigned

Aug 22, 2025

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1497633184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 FIELD ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FIELD ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201943",
            "telephone_number": "585-362-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERKIN",
        "first_name": "JAQUANDA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "NY",
            "license": "N5Q2B6C8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Pessia, MS CCC SLP
• Amy L Pete, P.T.
• Peter R. Stahl, M.D., P.C.
• Michelle A Peter, M.A. CCC-SLP
• Deanna Megan Peterangelo, DO
• Agnes Peters, RN
• Carly Ann Peters, MHC
• Cathy J. Peters, RN MS
• David Peters, M.D.
• Doreen Ann Peters, NP

• Phlebology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Phlebology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.